CECILIA NTOBO FAISON NGWA
NPI 1619694361
Nurse Practitioner - Psychiatric/Mental Health in Ruther Glen, VA

Active since October 24, 2022PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5322 LADYSMITH RD, RUTHER GLEN, VA 22546(757) 535-9609(571) 473-5954 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2026, Nov 28, 2022, Oct 24, 2022 (3 updates tracked since 2022).

About Cecilia Ntobo Faison Ngwa NPPES

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

CECILIA NTOBO FAISON NGWA (NPI 1619694361) is an individual psychiatric/mental health provider in Ruther Glen, Virginia, licensed in Virginia (2022064027) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ruther Glen, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619694361
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCECILIA NTOBO FAISON NGWA
Location Address5322 LADYSMITH RDRuther Glen, VA 22546-1325
Mailing Address5322 Ladysmith RdRuther Glen, VA 22546-1325 · (757) 535-9609 · Fax (571) 473-5954
Fax(571) 473-5954
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 24, 2022
Last NPPES UpdateMay 11, 20263 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
NPI 1619694361 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
License Licensed in VA · 2022064027
5322 LADYSMITH RD, Ruther Glen, VA 22546

Secondary Practice Location 1

Location 17338 Legacy LnRuther Glen, VA 22546-2954 · Phone (757) 535-9609 · Fax (571) 473-5954

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Cecilia Ntobo Faison Ngwa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204205685
PECOS Enrollment IDI20230315002613
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22546 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90
Improvement Activities40
Cost89.98

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Psychiatric/Mental Health)
5322 LADYSMITH RD
RUTHER GLEN, VA 22546
Counselor (Addiction (Substance Use Disorder))
5322 LADYSMITH RD
RUTHER GLEN, VA 22546
Nurse Practitioner (Psychiatric/Mental Health)
5322 LADYSMITH RD
RUTHER GLEN, VA 22546

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 Cecilia Faison Ngwa's NPI number?

The NPI number for Cecilia Faison Ngwa is 1619694361. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Cecilia Faison Ngwa located?

Cecilia Faison Ngwa practices at 5322 Ladysmith Rd, Ruther Glen, VA 22546. The listed phone number is (757) 535-9609.

What is Cecilia Faison Ngwa's specialty?

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

Is Cecilia Faison Ngwa enrolled in Medicare?

Yes. Cecilia Faison Ngwa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Cecilia Faison Ngwa was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.