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EDEN D SHUMBULO NP
NPI 1619639333
Nurse Practitioner - Family in Alexandria, VA

Active since October 11, 2021PECOS Enrolled
89.63/100
CMS Quality Rating
5465 N MORGAN ST APT 501, ALEXANDRIA, VA 22312(703) 283-3923 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eden D Shumbulo Np NPPES

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

EDEN D SHUMBULO NP (NPI 1619639333) is an individual family provider in Alexandria, Virginia, licensed in Virginia (2021084066) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619639333
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEDEN D SHUMBULOCredential: NP
Location Address5465 N MORGAN ST APT 501Alexandria, VA 22312-3328
Mailing Address5465 N Morgan St Apt 501Alexandria, VA 22312-3328 · (703) 283-3923
Phone(703) 283-3923
Sole ProprietorYes
Enumeration DateOctober 11, 2021
NPPES CertifiedOctober 11, 2021
✔ NPI 1619639333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 2021084066
5465 N MORGAN ST APT 501, Alexandria, VA 22312
Open in Google Maps ↗

Other Identifiers 1

Other2021084066Ancc

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)

Eden D Shumbulo Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 22312 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.03
Improvement Activities40

Other Providers at the Same Location NPPES

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

ETT TRANSPORTATION LLC
Non-emergency Medical Transport (VAN)
5465 N MORGAN ST APT 501
ALEXANDRIA, VA 22312
Fairfax County (571) 668-6121

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 Eden Shumbulo's NPI number?

The NPI number for Eden Shumbulo is 1619639333. It was assigned to this individual provider in the NPPES registry on October 11, 2021.

Where is Eden Shumbulo located?

Eden Shumbulo practices at 5465 N Morgan St Apt 501, Alexandria, VA 22312. The listed phone number is (703) 283-3923.

What is Eden Shumbulo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Eden Shumbulo enrolled in Medicare?

Yes. Eden Shumbulo is registered in the Medicare PECOS enrollment system.

What insurance does Eden Shumbulo accept?

Health plans from Providence Health Plan list Eden Shumbulo 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 Eden Shumbulo was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.