EDWIGE HERMINE FANDIO NGANKOU APRN
NPI 1720865272
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Active since September 08, 2023PECOS EnrolledAccepts Medicare Assignment
2021 S JONES BLVD, LAS VEGAS, NV 89146(702) 899-1208(702) 778-7632 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 16, 2023, Sep 8, 2023 (2 updates tracked since 2023).

About Edwige Hermine Fandio Ngankou Aprn NPPES

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

EDWIGE HERMINE FANDIO NGANKOU APRN (NPI 1720865272) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (870658) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1720865272
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEDWIGE HERMINE FANDIO NGANKOUCredential: APRN
Location Address2021 S JONES BLVDLas Vegas, NV 89146-3137
Mailing Address4310 W Cheyenne AveNorth Las Vegas, NV 89032-2484 · (702) 763-7811
Fax(702) 778-7632
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 8, 2023
Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
NPI 1720865272 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 NV · 870658
Also ListedRegistered NurseTaxonomy 163W00000X · License RN97594 (NV)
2021 S JONES BLVD, Las Vegas, NV 89146

Accepted Insurance

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

Edwige Hermine Fandio Ngankou Aprn 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 ID9739538240
PECOS Enrollment IDI20231208003156
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
103 services52 patients
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.
60 services24 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89146 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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 20

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

Psychiatry & Neurology (Psychiatry)
2021 S JONES BLVD
LAS VEGAS, NV 89146
Counselor (Mental Health)
2021 S JONES BLVD
LAS VEGAS, NV 89146
Community/Behavioral Health
2021 S JONES BLVD
LAS VEGAS, NV 89146
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
2021 S JONES BLVD
LAS VEGAS, NV 89146
Behavior Analyst
2021 S JONES BLVD
LAS VEGAS, NV 89146
Behavior Analyst
2021 S JONES BLVD
LAS VEGAS, NV 89146
Behavior Analyst
2021 S JONES BLVD
LAS VEGAS, NV 89146
Psychiatry & Neurology (Psychiatry)
2021 S JONES BLVD
LAS VEGAS, NV 89146

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720865272, enumerated as an "individual" on September 08, 2023.

The provider is located at 2021 S JONES BLVD LAS VEGAS, NV 89146 and the phone number is (702) 899-1208.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health and. Please consult your insurance carrier or call the provider to verify.