Edwige Hermine Fandio Ngankou, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

870658 Issued in NV

Practice address

2021 S Jones Blvd
Las Vegas, NV 89146-3137

Phone

(702) 899-1208

Fax

(702) 778-7632

NPI assigned

Sep 8, 2023

Last updated

Oct 16, 2023By the provider in NPPES

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 NV

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Progressive Psychiatric Services, LLCGroup PAC ID 4789066622, 3 clinicians

Psychiatric Solutions ClinicGroup PAC ID 9931508280, 3 clinicians

Medical and Behavioral Health Center LLCGroup PAC ID 0143759563, 6 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical and Behavioral Health Center LLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1023721065
  Medicare reassignment Care Compare group NPD
• Oluyemisi Olayinka Adedotun

  dba Psychiatric Solutions Clinic

  • Adult Mental Health Clinic/Center
  • Las Vegas, NV
  • NPI 1780059352
  Medicare reassignment Care Compare group NPD
• Progressive Psychiatric Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1811639685
  Medicare reassignment Care Compare group NPD
• Progressive Psychiatric Services, LLC

  • Addiction Psychiatry Physician
  • Las Vegas, NV
  • NPI 1235922295
  NPD (past)
• RF Ramirez LLC

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1386072957
  NPD (past)

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1720865272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 W CHEYENNE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322484",
            "telephone_number": "702-763-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463137",
            "telephone_number": "702-899-1208",
            "fax_number": "702-778-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANDIO NGANKOU",
        "first_name": "EDWIGE",
        "middle_name": "HERMINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "870658",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN97594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jianhua Fan
• Li-Hsing Cindy Fan
• Ming Fan
• Qingqing Fan
• Rong Fan, M.D.
• Eilen Fanego Fontes
• Abbe Fang
• Hui Ming Fang
• Jie Chan Fang
• Tongfei Fang

• Psychiatric/Mental Health Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.