Individual provider Active NPI

Zoila Patricia Congleton, CFNP

  • Family Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1336152198
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024124038 Issued in VA
Practice address
4379 Ridgewood Center Dr
Ste 102
Woodbridge, VA 22192-8323
Phone
(703) 680-7950
Fax
(703) 680-7953
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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 0024124038 VA Primary

Addresses

Primary practice location

4379 Ridgewood Center Dr
Ste 102
Woodbridge, VA 22192-8323

Mailing address

12229 Cinnamon St
Woodbridge, VA 22192-1709
Phone (703) 494-5743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090602000647 VA Practitioner - Nurse Practitioner 0840340485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardinal Internal Medicine AssociatesGroup PAC ID 2769379148, 7 clinicians

Practice addresses (Care Compare)

12731 Marblestone Dr
Suite 200
Woodbridge, VA 22192-8334
Phone (703) 897-4700

Hospital & facility affiliations

  • Sentara Home Care Services Home health agency, Dumfries, VA, CCN 497675
  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113

Merit-based Incentive Payment System (MIPS)

Final score
88.28 of 100Reported as group
Quality
86.06
Promoting interoperability
100
Improvement activities
40
Cost
74.87

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Internal Medicine Associates CurrentSince Aug 1, 2019 Accepting new patients

Locations

608 Garrisonville Rd
Ste 201
Stafford, VA 22554
Phone (540) 659-4157

12731 Marblestone Dr
Ste 200
Woodbridge, VA 22192
Phone (703) 497-4700

12604 Lake Ridge Dr
Woodbridge, VA 22192
Phone (540) 310-0117

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCJAAA

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1336152198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12229 CINNAMON ST",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921709",
            "telephone_number": "703-494-5743",
            "fax_number": "703-237-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4379 RIDGEWOOD CENTER DR",
            "address_2": "STE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928323",
            "telephone_number": "703-680-7950",
            "fax_number": "703-680-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONGLETON",
        "first_name": "ZOILA",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024124038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.