Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susan Wakesho Ngondo

Individual provider Family Medicine Physician · NPI 1962088047

Susan Wakesho Ngondo is a Nurse Practitioner in Marco Island, Florida. Qualified in 2020, 6 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2021
Specialties on file
2

Practice location Address checks out

127 S Bahama Ave
Marco Island, FL 34145-5117
Phone: (239) 601-5452
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11011868 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 11011868 (FL)

Record details

NPI number1962088047
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 20, 2021
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Marco Island