MRS. RAHWA WOLDEGIORGIS – Acute Care Nurse Practitioner, NPI 1689450983

MRS. RAHWA WOLDEGIORGIS is a healthcare provider. based in Woodbridge, Virginia. specializing in NURSE PRACTITIONER. They hold a License No. 0024187501 (VA). The NPI Number for MRS. RAHWA WOLDEGIORGIS is 1689450983

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. RAHWA WOLDEGIORGIS
NPI
1689450983
Phone
(703) 492-6822
Address
1990 Old Bridge Rd Ste 101
Enumeration Date
4 September 2023
Last Update Date
12 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7034926822
Graduation Year
2022 (4 years ago)
PAC ID
7911351937
Group Practice PAC ID
0941499594
Professional Enrollment ID
I20230925003866
Address ID
VA221922383WO1990XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for MRS. RAHWA WOLDEGIORGIS

  • 1990 Old Bridge Rd Ste 101

    Woodbridge, VA 221922383

    Phone: (703) 492-6822

    Type: Location

  • 422 Garrisonville Rd Ste 104

    Stafford, VA 225541573

    Phone: (540) 628-2173

    Type: Location

  • 1990 OLD BRIDGE RD STE 201

    WOODBRIDGE, VA 221922383

    Phone: (703) 492-6822

    Fax: (703) 492-6826

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $1,193.

Total Amount is formed as General ($1,193) + Research ($0) + Ownership ($0) = $1,193.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($178).

Total Amount

$1,193

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,193

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-10-06

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
I20230925003866INurse PractitionerVATBD
I20231006002011INurse PractitionerDCTBD

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 22192)

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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: 0941499594View full group profile
NameSpecialtyState
Nurse PractitionerVA
Physician AssistantVA
Internal Medicine, Cardiovascular Disease (Cardiology)VA
Cardiovascular Disease (Cardiology)VA
Nurse PractitionerVA
Nurse PractitionerVA
Interventional Cardiology, Cardiovascular Disease (Cardiology)VA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)TX
Interventional Cardiology, Cardiovascular Disease (Cardiology)NJ
Internal MedicineIL

Reviews

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Frequently asked questions

How do payers reference MRS. RAHWA WOLDEGIORGIS?
For MRS. RAHWA WOLDEGIORGIS, use NPI 1689450983 as the unique 10-digit identifier.
Active or inactive — what applies to MRS. RAHWA WOLDEGIORGIS?
You should see MRS. RAHWA WOLDEGIORGIS as active in CMS-hosted NPPES data.
What kind of doctor is MRS. RAHWA WOLDEGIORGIS?
MRS. RAHWA WOLDEGIORGIS is associated with Acute Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is MRS. RAHWA WOLDEGIORGIS located near Woodbridge?
MRS. RAHWA WOLDEGIORGIS currently maps to Woodbridge, Virginia in this extract.
When was this NPI issued?
Enumeration for MRS. RAHWA WOLDEGIORGIS is noted as September 4, 2023 where the registry provides it.

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