MARY NNEKA UKPABI-EGBUNIWE (FNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1679848006

MARY NNEKA UKPABI-EGBUNIWE (FNP) is a healthcare provider. based in Prince george, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 0024171023 (VA). The NPI Number for MARY NNEKA UKPABI-EGBUNIWE (FNP) is 1679848006

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MARY NNEKA UKPABI-EGBUNIWE (FNP)
NPI
1679848006
Phone
(804) 452-5800
Address
4260 CROSSINGS BLVD
Enumeration Date
19 March 2012
Last Update Date
7 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8552847483
Graduation Year
2011 (15 years ago)
PAC ID
8426271172
Group Practice PAC ID
0749458420
Professional Enrollment ID
I20150821012676
Address ID
VA221923940WO2501XPLXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for MARY NNEKA UKPABI-EGBUNIWE (FNP)

  • 4260 CROSSINGS BLVD

    SUITE 2

    PRINCE GEORGE, VA 238751400

    Phone: (804) 452-5800

    Fax: (804) 452-5801

    Type: Location

  • PO BOX 220

    NEW CANTON, VA 231230220

    Phone: (434) 581-3271

    Fax: (434) 581-1704

    Type: Mailing

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: 2015-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140527000882INurse PractitionerNCTBD
I20150821012676INurse PractitionerVATBD

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.

Verify on CMS Revalidation Lookup Tool

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 23875)

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Provider's Procedures

MARY NNEKA UKPABI-EGBUNIWE (FNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERVA90670Pneumococcal vaccine for injection into muscle1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749458420View full group profile
NameSpecialtyState
Mental Health CounselorTX
Clinical Social WorkerTX
Mental Health CounselorPA
Mental Health CounselorGA
Mental Health CounselorGA
Clinical Social WorkerMA
Mental Health CounselorTX
Mental Health CounselorPA
Clinical Social WorkerMI
Mental Health CounselorGA

Reviews

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Frequently asked questions

How is MARY NNEKA UKPABI-EGBUNIWE (FNP) identified in CMS data?
CMS-hosted NPPES data lists MARY NNEKA UKPABI-EGBUNIWE (FNP) with NPI 1679848006.
Can I rely on MARY NNEKA UKPABI-EGBUNIWE (FNP) being an active provider?
As of the registry snapshot, MARY NNEKA UKPABI-EGBUNIWE (FNP) is marked active.
What is MARY NNEKA UKPABI-EGBUNIWE (FNP) best known for clinically?
Directory data describes MARY NNEKA UKPABI-EGBUNIWE (FNP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MARY NNEKA UKPABI-EGBUNIWE (FNP) on a map?
Expect Prince George, Virginia as a primary anchor for MARY NNEKA UKPABI-EGBUNIWE (FNP) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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