NADIA E BANGURA (PA-C) – Student in an Organized Health Care Education/Training Program, NPI 1073157228
Student in an Organized Health Care Education/Training Program
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in VA
Provider Addresses for NADIA E BANGURA (PA-C)
2151 OLD BRICK RD
GLEN ALLEN, VA 230605837
Phone: (571) 242-0413
Type: Mailing
8525 Rolling Rd Ste 300
Manassas, VA 201103673
Phone: (703) 393-1667
Fax: (703) 393-2517
Type: Location
6707 Democracy Blvd Ste 504
Bethesda, MD 208171166
Phone: (301) 637-8712
Fax: (301) 547-3366
Type: Location
11350 MCCORMICK RD
EXECUTIVE PLAZA 1, STE. 501
HUNT VALLEY, MD 21031
Phone: (709) 914-8000
Type: Mailing
6355 WALKER LN STE 507
ALEXANDRIA, VA 223103251
Phone: (703) 738-4332
Fax: (703) 971-4605
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $150.
Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.
Last reported payment date: 2024-02-21 • Largest payer in this snapshot: ABBVIE INC. ($133).
Total Amount
$150
General + Research + Ownership
Payments
3
Total payment records
General Amount
$150
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $133 |
| Corium, LLC | $18 |
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: 2024-10-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20210614000038 | I | Physician Assistant | VA | TBD |
| I20210917000364 | I | Physician Assistant | DC | TBD |
| I20240114000041 | I | Physician Assistant | NJ | TBD |
| I20241029002952 | I | Physician Assistant | MD | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | PA | |
| Internal Medicine | NJ | |
| P S Y C H I A T R Y | NY | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | NY | |
| Clinical Social Worker | NJ |
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