Cordelia Nieketien-tawari, DNP, APRN-BC LNP - Medicare Nurse Practitioner in Reston, VA

Cordelia Nieketien-tawari, DNP, APRN-BC LNP is a medicare enrolled "Nurse Practitioner - Family" in Reston, Virginia. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fairfax County, Virginia and her current practice location is 1850 Cameron Glen Dr, Suite 600, Reston, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 481-4100.

Cordelia Nieketien-tawari is licensed to practice in Virginia (license number 0024165883) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194827139.

Contact Information

Cordelia Nieketien-tawari, DNP, APRN-BC LNP
1850 Cameron Glen Dr, Suite 600,
Reston, VA 20190-3363
(703) 481-4100
(703) 435-1961

Map and Direction




Provider's Profile

Full NameCordelia Nieketien-tawari
GenderFemale
SpecialityNurse Practitioner
Experience21 Years
Location1850 Cameron Glen Dr, Reston, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Cordelia Nieketien-tawari graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1194827139
  • Provider Enumeration Date: 09/01/2006
  • Last Update Date: 01/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648254359
  • Enrollment ID: I20040721001596

Medical Identifiers

Medical identifiers for Cordelia Nieketien-tawari such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194827139NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024165883 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Cordelia Nieketien-tawari allows following entities to bill medicare on her behalf.
Entity NameMental Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154356244
PECOS PAC ID: 6002701356
Enrollment ID: O20040217000340
Entity NameCornita Mental Health And Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134524580
PECOS PAC ID: 3870812084
Enrollment ID: O20150508001344
Entity NameFairfax County, Virginia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154356244
PECOS PAC ID: 9739136847
Enrollment ID: O20210319001688

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cordelia Nieketien-tawari is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cordelia Nieketien-tawari, DNP, APRN-BC LNP
Po Box 2692,
Reston, VA 20195-0692

Ph: (703) 869-5361
Cordelia Nieketien-tawari, DNP, APRN-BC LNP
1850 Cameron Glen Dr, Suite 600,
Reston, VA 20190-3363

Ph: (703) 481-4100

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.