SYDONIE BONGAM DNP, PMHNP-BC, FNP-C
NPI 1881169415
Nurse Practitioner - Psychiatric/Mental Health in Purcellville, VA

Q: What is Sydonie Bongam's NPI number?

The NPI number for Sydonie Bongam is 1881169415. It was assigned to this individual provider in the NPPES registry on October 10, 2018.

Q: What is Sydonie Bongam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sydonie Bongam was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 10, 2018PECOS EnrolledAccepts Medicare Assignment

201 N MAPLE AVE UNIT 200, PURCELLVILLE, VA 20132(703) 662-5899 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 19, 2026, Oct 10, 2018 (2 updates tracked since 2018).

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About Sydonie Bongam Dnp, Pmhnp-bc, Fnp-c NPPES

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

SYDONIE BONGAM DNP, PMHNP-BC, FNP-C (NPI 1881169415) is an individual psychiatric/mental health provider in Purcellville, Virginia, licensed in Virginia (0024176878) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1881169415

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSYDONIE BONGAMCredential: DNP, PMHNP-BC, FNP-C

Location Address201 N MAPLE AVE UNIT 200Purcellville, VA 20132-6102

Mailing Address15962 Paynes Farm DrHaymarket, VA 20169-8189

Phone(703) 662-5899

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 10, 2018

Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration

NPPES CertifiedMarch 19, 2026

✔ NPI 1881169415 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

Licenses✔ Licensed in VA · 0024176878✔ Licensed in DC · NP1035308

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R200143 (MD)

201 N MAPLE AVE UNIT 200, Purcellville, VA 20132

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Other Identifiers 1

OtherR200143MD · Aanp

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

Sydonie Bongam Dnp, Pmhnp-bc, Fnp-c 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 ID9638080252

PECOS Enrollment IDI20190219000021

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

79 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20132 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 10

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

CASEY LEANN DAVIS PSY.D., LCP

Psychologist (Clinical)