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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LYDIA KAWUDHA PMHNP-BC
NPI 1528895398
Nurse Practitioner - Psychiatric/Mental Health in Fredericksburg, VA

Active since September 17, 2024PECOS Enrolled
3330 BOURBON ST, FREDERICKSBURG, VA 22408(540) 782-3620(540) 227-4591 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 18, 2026, Apr 9, 2026, Jan 30, 2026 and 4 more (7 updates tracked since 2024).

About Lydia Kawudha Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYDIA KAWUDHA PMHNP-BC (NPI 1528895398) is an individual psychiatric/mental health provider in Fredericksburg, Virginia, licensed in Oregon (10060155) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1528895398
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLYDIA KAWUDHACredential: PMHNP-BC
Location Address3330 BOURBON STFredericksburg, VA 22408-7333
Mailing Address3330 Bourbon StFredericksburg, VA 22408-7333 · (540) 782-3620 · Fax (540) 227-4591
Phone(540) 782-3620
Fax(540) 227-4591
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 17, 2024
Last NPPES UpdateSeptember 18, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1528895398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in OR · 10060155✔ Licensed in VA · 0024191086
3330 BOURBON ST, Fredericksburg, VA 22408
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia Kawudha Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496282949
PECOS Enrollment IDI20260613000467, I20260617002863
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22408 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLOBAL NEURO-DIAGNOSTICS, LP
Physiological Laboratory
3330 BOURBON ST, STE 100
FREDERICKSBURG, VA 22408
Spotsylvania County (866) 848-2522
PEACEFUL SURROUNDINGS HOME HEALTH CARE LLC
Home Health
3330 BOURBON ST, STE 124
FREDERICKSBURG, VA 22408
Spotsylvania County (540) 373-3303
KARMARIA NEGRON LCSW
Social Worker (Clinical)
3330 BOURBON ST
FREDERICKSBURG, VA 22408
Spotsylvania County (540) 300-2196
ALIGNED MINDS PSYCHIATRY
Nurse Practitioner (Psychiatric/Mental Health)
3330 BOURBON ST
FREDERICKSBURG, VA 22408
Spotsylvania County (540) 782-3620
KELLEY M RAETZSCH RD, CSSD
Dietitian, Registered
3330 BOURBON ST, SUITE 128
FREDERICKSBURG, VA 22408
Spotsylvania County (540) 847-7706
MS. SARAH MORRIS CLANTON RIC
Counselor (Mental Health)
3330 BOURBON ST
FREDERICKSBURG, VA 22408
Spotsylvania County (703) 646-0769
ROSELINE WAKALA EVANS RN
Home Health
3330 BOURBON ST
FREDERICKSBURG, VA 22408
Spotsylvania County (540) 660-3353
SAMAH HADI
Day Training, Developmentally Disabled Services
3330 BOURBON ST
FREDERICKSBURG, VA 22408
Spotsylvania County (571) 526-8048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydia Kawudha's NPI number?

The NPI number for Lydia Kawudha is 1528895398. It was assigned to this individual provider in the NPPES registry on September 17, 2024.

Where is Lydia Kawudha located?

Lydia Kawudha practices at 3330 Bourbon St, Fredericksburg, VA 22408. The listed phone number is (540) 782-3620.

What is Lydia Kawudha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lydia Kawudha enrolled in Medicare?

Yes. Lydia Kawudha is registered in the Medicare PECOS enrollment system.

What insurance does Lydia Kawudha accept?

Health plans from Providence Health Plan list Lydia Kawudha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lydia Kawudha was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.