SUSAN WAKESHO NGONDO NPI 1962088047

NPI Information

  • NPI: 1962088047
  • Provider Name: SUSAN WAKESHO NGONDO
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 127 S BAHAMA AVE
    MARCO ISLAND, FL
    ZIP 34145
  • Phone: (239) 601-5452

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NPI Details

Susan Wakesho Ngondo is a family nurse practitioner in Marco Island, FL with 5 years of experience. Susan Wakesho Ngondo NPI is 1962088047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

127 S BAHAMA AVE
MARCO ISLAND, FL
ZIP 34145-117
Phone: (239) 601-5452

The NPI 1962088047 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • New patient home visit, typically 45 minutes (HCPCS:99343)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • New patient home visit, typically 1 hour (HCPCS:99344)

The enumeration date for this NPI number is 3/20/2021 and was last updated on 12/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine11011868FLORIDANo
2363LF0000XNurse PractitionerFamilyAPRN11011868FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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