| Elizabeth-jane Mengwi Ngongbo, MSN-FNP | |
| 
					9009 Silverbrook Rd, Fairfax Station, VA 22039-2607  | |
| (703) 493-8531 | |
| (703) 361-0346 | 
| Full Name | Elizabeth-jane Mengwi Ngongbo | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 9009 Silverbrook Rd, Fairfax Station, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356660740 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001202623 (Virginia) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 0024169666 (Virginia) | Primary | 
| Entity Name | Medstar Medical Group Ii Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415  | 
| Entity Name | Varahe Health Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811727753 PECOS PAC ID: 6002347077 Enrollment ID: O20241001003172  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Elizabeth-jane Mengwi Ngongbo, MSN-FNP 8714 Sudley Rd, Manassas, VA 20110-4405 Ph: (703) 361-4357  | Elizabeth-jane Mengwi Ngongbo, MSN-FNP 9009 Silverbrook Rd, Fairfax Station, VA 22039-2607 Ph: (703) 493-8531  | 
Jill Forbes, C.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9107 Oak Chase Ct, Fairfax Station, VA 22039 Phone: 703-690-8482 Fax: 701-248-9320  | |
Nora Habib, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10983 Clara Barton Dr, Fairfax Station, VA 22039 Phone: 508-505-8300  | |
Jeanne Gravois Chutuape, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7421 Willowbrook Rd, Fairfax Station, VA 22039 Phone: 571-432-7421  | |
Maria Cherry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9107 Oak Chase Ct, Fairfax Station, VA 22039 Phone: 703-690-8482  | |
Mrs. Lottie Suzanne Brewer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9009 Silverbrook Rd, Fairfax Station, VA 22039 Phone: 866-389-2727  | |
Jacqueline Magill, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9009 Silverbrook Rd, Fairfax Station, VA 22039 Phone: 703-493-8531  |