Concilia Mbawuike, CNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

0024186984 Issued in VA

Practice address

5372 Fallowater LN Ste 200
Roanoke, VA 24018-0909

Phone

(216) 672-3100

Fax

(216) 362-0677

NPI assigned

Apr 26, 2023

Last updated

Feb 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ennoble HC DMV LLCGroup PAC ID 9032517925, 112 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care Inc Home health agency, Falls Church, VA, CCN 497730

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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

• Ennoble HC DMV LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Fulton, MD
  • NPI 1104492115

  DC, VA

  Medicare reassignment Care Compare group NPD
• Atlantic Healthcare Services LLC

  dba Atlantic Healthcare Services

  • Nurse Practitioner
  • Roanoke, VA
  • NPI 1912491739

  DC

  Medicare reassignment NPD
• Ennoble HC DMV II LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Silver Spring, MD
  • NPI 1134002900

  DC, VA

  Medicare reassignment NPD
• Ennoble HC DMV III LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Silver Spring, MD
  • NPI 1922981695

  DC, VA

  Medicare reassignment NPD
• Capital Palliative Care Consultants, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Falls Church, VA
  • NPI 1275541013

  DC

  Medicare reassignment
• Capital Hospice

  • Community Based Hospice Care Agency
  • Falls Church, VA
  • NPI 1568485894
  NPD (past)

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

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Falls Church, VA
  • NPI 1528435781
  Care Compare affiliation

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1336837574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12380 PLAZA DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301043",
            "telephone_number": "216-672-3100",
            "fax_number": "216-362-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5372 FALLOWATER LN STE 200",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180909",
            "telephone_number": "216-672-3100",
            "fax_number": "216-362-0677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20130 Lakeview Center Plz",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201475904",
            "country_code": "US",
            "telephone_number": "703-865-2144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBAWUIKE",
        "first_name": "CONCILIA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024186984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Dickerson Mayes, MD, PHD
• Donnie Elwood Mayhew, D.D.S.
• Leah W Mayne, LCSW
• Mazen Madhoun MD LLC
• Bethany Mazurek, BCBA/LBA
• MBK Residential Services LLC
• Kelly McAllister
• Dane C McBride, MD
• Mark A McBride, M.D.
• Niya L McCaden

• Acute Care Nurse Practitioner in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Acute Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.