Elizabeth-Jane Mengwi Ngongbo, MSN-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024169666 Issued in VA

Practice address

9009 Silverbrook Rd
Fairfax Station, VA 22039-2607

Phone

(703) 493-8531

Fax

(703) 361-0346

NPI assigned

May 25, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment Care Compare group NPD
• Varahe Health Services LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Rockville, MD
  • NPI 1811727753

  DC

  Medicare reassignment NPD
• Zion Medical LLC

  • In Home Supportive Care Agency
  • Annandale, VA
  • NPI 1932737970
  NPD Authorized official
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD
• Medstar Medical Group II LLC

  • Anatomic Pathology Physician
  • Washington, DC
  • NPI 1578297503
  NPD
• Nova Occupational Health Inc

  • Occupational Medicine Physician
  • Manassas, VA
  • NPI 1679836746
  NPD (past)

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

• Medstar Health Visiting Nurse Association, Inc.

  • Home Health Agency
  • Baltimore, MD
  • NPI 1790899524
  Care Compare affiliation

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356660740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8714 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104405",
            "telephone_number": "703-361-4357",
            "fax_number": "703-361-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 SILVERBROOK RD",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392607",
            "telephone_number": "703-493-8531",
            "fax_number": "703-361-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGONGBO",
        "first_name": "ELIZABETH-JANE",
        "middle_name": "MENGWI",
        "credential": "MSN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001202623",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Jay Milner, R.PH., J.D.
• Mahtab Mollajafar
• Amber Rose Morris, PSYD
• Natural Integrative Healthcare
• New Flower LLC
• Nam Nguyen, RPH
• Northern Virginia ABA Services LLC
• Roy D. Novick, D.D.S.
• Nurtured Mind Psychological Services LLC
• Cari W Pao, PHARMD

• Family Nurse Practitioner in Fairfax Station, VA
• Providers in Fairfax Station, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.