EDITH NKEZE PMHNP
NPI 1699500496
Nurse Practitioner - Psychiatric/Mental Health in Fredericksburg, VA

Active since September 03, 2024PECOS EnrolledAccepts Medicare Assignment
52 TOWNES PL, FREDERICKSBURG, VA 22405(734) 277-7269 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 5, 2024, Sep 3, 2024 (2 updates tracked since 2024).

About Edith Nkeze Pmhnp NPPES

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

EDITH NKEZE PMHNP (NPI 1699500496) is an individual psychiatric/mental health provider in Fredericksburg, Virginia, licensed in Virginia (0024191507) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1699500496
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEDITH NKEZECredential: PMHNP
Location Address52 TOWNES PLFredericksburg, VA 22405-2093
Mailing Address754 Warrenton RdFredericksburg, VA 22406-1098
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 3, 2024
Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1699500496 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 · 0024191507
52 TOWNES PL, Fredericksburg, VA 22405

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edith Nkeze Pmhnp 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 ID4587192984
PECOS Enrollment IDI20250113003585
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 Edith Nkeze reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
6131 JAMES MADISON PKWY
King George, VA 22485
  • Reassigned Medicare billing, Virginia enrollment
  • 9 clinicians in this Medicare group
Community/Behavioral Health
14011 WORTH AVE STE 150
Woodbridge, VA 22192
  • Reassigned Medicare billing, Virginia enrollment
  • 32 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
4601 PRESIDENTS DRIVE, SUITE 232
Lanham, MD 20706
  • Reassigned Medicare billing, District of Columbia enrollment
  • 8 clinicians in this Medicare group

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 22405 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.

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 Edith Nkeze's NPI number?

The NPI number for Edith Nkeze is 1699500496. It was assigned to this individual provider in the NPPES registry on September 3, 2024.

Where is Edith Nkeze located?

Edith Nkeze practices at 52 Townes Pl, Fredericksburg, VA 22405. The listed phone number is (734) 277-7269.

What is Edith Nkeze's specialty?

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

Is Edith Nkeze enrolled in Medicare?

Yes. Edith Nkeze 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.

Which organizations bill Medicare for Edith Nkeze's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edith Nkeze reassigns Medicare benefits to 3 organizations: Vital Health & Integrative Care (King George, VA), Connections Healthva, LLC (Woodbridge, VA) and Grace And Mercy Community Services Incorporated (Lanham, MD). 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 Edith Nkeze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edith Nkeze accept?

Health plans from Oscar Health list Edith Nkeze 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 Edith Nkeze was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.