KENDRA V MINGO (PA) – Physician Assistant, NPI 1043846199
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in VA
Provider Addresses for KENDRA V MINGO (PA)
PO BOX 791775
BALTIMORE, MD 212791775
Phone: (571) 302-5000
Fax: (571) 302-5001
Type: Mailing
8375 LEESBURG PIKE
VIENNA, VA 221822402
Phone: (571) 889-3237
Fax: (571) 889-3238
Type: Location
111 Michigan Ave NW
Washington, DC 200102916
Phone: (202) 476-5000
Type: Location
5773 AMELIA SPRINGS CIR
HAYMARKET, VA 201695416
Phone: (703) 795-8321
Type: Mailing
8375 Leesburg Pike
Vienna, VA 221822402
Phone: (571) 889-3237
Fax: (571) 889-3238
Type: Location
PO BOX 744785
ATLANTA, GA 303744785
Phone: (202) 476-5000
Type: Mailing
111 MICHIGAN AVE NW
WASHINGTON, DC 200102916
Phone: (202) 476-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-04-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210406000154 | I | Physician Assistant | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 58 | 58 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 45 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 31 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 32 | 16 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 24 | 23 | $0 |
Insurance plans in this area (ZIP 21279)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | DC | |
| Internal Medicine, General Practice | VA | |
| Physician Assistant | MD | |
| Physician Assistant | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA |
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