Individual provider Active NPI

Pamela Ngeghua Wanki, FNP

  • Family Nurse Practitioner
  • Falls Church, VA
National Provider Identifier
1114537545
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024185615 Issued in VA
Practice address
1208D W Broad St
Falls Church, VA 22046-2116
Phone
(571) 766-8927
Fax
(571) 766-8928
NPI assigned
Jul 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024185615 VA Primary

Addresses

Primary practice location

1208D W Broad St
Falls Church, VA 22046-2116

Mailing address

PO Box 791775
Baltimore, MD 21279-1775
Phone (571) 302-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220314001778 DC Practitioner - Nurse Practitioner 7012302821 Reassigns benefits to 2 organizations
I20240209001102 VA Practitioner - Nurse Practitioner 7012302821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians

Practice addresses (Care Compare)

180 Maple Ave W
Vienna, VA 22180-5727
Phone (703) 938-5300

43135 Broadlands Ctr PLZ
Suite 123
Broadlands, VA 20148-3804
Phone (571) 206-0742

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
Quality
84.42
Promoting interoperability
100
Improvement activities
40
Cost
77.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Ucc LLC CurrentSince Jan 22, 2024 Accepting new patients
Mbi Health Services LLC CurrentSince Feb 17, 2022 Accepting new patients
Loudoun Medical Group, PC PastSince Jan 22, 2024 Accepting new patients

Locations

4130 Hunt Pl NE
Washington, DC 20019
Phone (202) 388-4320

7200 Wisconsin Ave
Ste 702
Bethesda, MD 20814
Phone (202) 215-5348

43135 Broadlands Center Plz
Ste 123
Broadlands, VA 20148
Phone (571) 206-0742

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

1208 W Broad St
#D
Falls Church, VA 22046
Phone (571) 766-8927

7637 Linton Hall Rd
Gainesville, VA 20155
Phone (703) 743-7000

2425 Centreville Rd
Ste 7
Herndon, VA 20171
Phone (571) 376-4000

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

Interoperability endpoints

  • Direct secure messaging: pwanki1269402@soc.inova.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1114537545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791775",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212791775",
            "telephone_number": "571-302-5000",
            "fax_number": "571-302-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208D W BROAD ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220462116",
            "telephone_number": "571-766-8927",
            "fax_number": "571-766-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANKI",
        "first_name": "PAMELA",
        "middle_name": "NGEGHUA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.