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

Q: What is Edwige Fandio Ngankou's NPI number?

The NPI number for Edwige Fandio Ngankou is 1720865272. It was assigned to this individual provider in the NPPES registry on September 8, 2023.

Q: What is Edwige Fandio Ngankou's specialty?

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

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: November 01, 2026.

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

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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

Phone(702) 899-1208

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.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

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.

Medicare Billing Reassignments

Medicare enrollment records show Edwige Fandio Ngankou reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Progressive Psychiatric Services, LLC

0.8 mi

Mental Health (Including Community Mental Health Center)

2830 S JONES BLVD STE 3
Las Vegas, NV 89146

Reassigned Medicare billing, Nevada enrollment
8 clinicians in this Medicare group

NPI 1811639685 (702) 899-1208

Medical And Behavioral Health Center LLC

6.4 mi

Internal Medicine

4225 S EASTERN AVE STE 8
Las Vegas, NV 89119

Reassigned Medicare billing, Nevada enrollment
8 clinicians in this Medicare group

NPI 1023721065 (725) 204-0953

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

Areas of Expertise CMS Part B claims 3

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 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 19

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

BRIGHTSTAR URGENT CARE

Clinic/Center (Urgent Care)