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MARY NNEKA UKPABI-EGBUNIWE FNP
NPI 1679848006
Nurse Practitioner - Psychiatric/Mental Health in Prince George, VA

Active since March 19, 2012PECOS Enrolled
4260 CROSSINGS BLVD, SUITE 2, PRINCE GEORGE, VA 23875(804) 452-5800(804) 452-5801 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Nneka Ukpabi-egbuniwe Fnp NPPES

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

MARY NNEKA UKPABI-EGBUNIWE FNP (NPI 1679848006) is an individual psychiatric/mental health provider in Prince George, Virginia, licensed in Virginia (0024171023) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679848006
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY NNEKA UKPABI-EGBUNIWECredential: FNP
Location Address4260 CROSSINGS BLVD, SUITE 2Prince George, VA 23875-1400
Mailing AddressPo Box 220New Canton, VA 23123-0220 · (434) 581-3271 · Fax (434) 581-1704
Phone(804) 452-5800
Fax(804) 452-5801
Sole ProprietorNo
Enumeration DateMarch 19, 2012
Last NPPES UpdateFebruary 7, 2024
NPPES CertifiedFebruary 7, 2024
✔ NPI 1679848006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024171023
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0024171023 (VA)
4260 CROSSINGS BLVD, Prince George, VA 23875
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Nneka Ukpabi-egbuniwe Fnp 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mary Ukpabi-egbuniwe reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thrive Counseling LLC
100 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Virginia enrollment
  • 302 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483
Privia Medical Group, LLC
113 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, Virginia enrollment
  • 1,315 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850
Cornerstone Health Care, LLC
146 mi
Ophthalmology
1537 FREEWAY DR, STE 503
Reidsville, NC 27320
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Wake Forest Health Network LLC
  • 583 clinicians in this Medicare group
NPI 1316245202 (336) 342-4771

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23875 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 3

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

DR. MELBA WILLIAMS BRYANT
Dentist (General Practice)
4260 CROSSINGS BLVD, SUITE 2
PRINCE GEORGE, VA 23875
Prince George County (804) 452-5800
JOHN G VILLANUEVA MD
Family Medicine
4260 CROSSINGS BLVD, SUITE 2
PRINCE GEORGE, VA 23875
Prince George County (804) 452-5800
CENTRAL VIRGINIA HEALTH SERVICES INC
Clinic/Center (Federally Qualified Health Center (FQHC))
4260 CROSSINGS BLVD, SUITE 2
PRINCE GEORGE, VA 23875
Prince George County (434) 542-5560

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 Mary Ukpabi-egbuniwe's NPI number?

The NPI number for Mary Ukpabi-egbuniwe is 1679848006. It was assigned to this individual provider in the NPPES registry on March 19, 2012.

Where is Mary Ukpabi-egbuniwe located?

Mary Ukpabi-egbuniwe practices at 4260 Crossings Blvd Suite 2, Prince George, VA 23875. The listed phone number is (804) 452-5800.

What is Mary Ukpabi-egbuniwe's specialty?

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

Is Mary Ukpabi-egbuniwe enrolled in Medicare?

Yes. Mary Ukpabi-egbuniwe is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Ukpabi-egbuniwe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ukpabi-egbuniwe reassigns Medicare benefits to 3 organizations: Thrive Counseling LLC (Lynchburg, VA), Privia Medical Group, LLC (Arlington, VA) and Cornerstone Health Care, LLC (Reidsville, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Ukpabi-egbuniwe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Ukpabi-egbuniwe was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.