NANA AMA MAKU ODURO FNP-C
NPI 1013618412
Nurse Practitioner - Psychiatric/Mental Health in Woodbridge, VA
About Nana Ama Maku Oduro Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NANA AMA MAKU ODURO FNP-C (NPI 1013618412) is an individual psychiatric/mental health provider in Woodbridge, Virginia, licensed in Virginia (0024185663) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fredericksburg, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nana Ama Maku Oduro Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Nana Ama Oduro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Woodbridge, VA 22192
- Reassigned Medicare billing, Virginia enrollment
- 5 clinicians in this Medicare group
Mc Lean, VA 22102
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22192 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOODBRIDGE, VA 22192
WOODBRIDGE, VA 22192
WOODBRIDGE, VA 22192
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nana Ama Oduro's NPI number?
The NPI number for Nana Ama Oduro is 1013618412. It was assigned to this individual provider in the NPPES registry on March 13, 2023.
Where is Nana Ama Oduro located?
Nana Ama Oduro practices at 1455 Old Bridge Rd Ste 204, Woodbridge, VA 22192. The listed phone number is (703) 870-0738.
What is Nana Ama Oduro's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Nana Ama Oduro enrolled in Medicare?
Yes. Nana Ama Oduro is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nana Ama Oduro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nana Ama Oduro reassigns Medicare benefits to 2 organizations: Godaelli Healthcare Services (Woodbridge, VA) and Arman C. Moshyedi, MD, PLLC (Mc Lean, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nana Ama Oduro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nana Ama Oduro was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nana Ama Maku Oduro, FNP-C · NPI 1013618412
Psychiatric/Mental Health physician in Woodbridge, Virginia. Individual provider, active in the CMS NPPES registry since March 13, 2023.
## Identity
- **NPI:** 1013618412 (Entity type: Individual)
- **Enumerated:** March 13, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0024185663 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1455 OLD BRIDGE RD STE 204, Woodbridge, VA 22192-2727
- **Phone:** (703) 870-0738
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Godaelli Healthcare Services (NPI 1801391982, Woodbridge, VA); Arman C. Moshyedi, MD, PLLC (NPI 1366005183, Mc Lean, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013618412) · Data from the CMS NPPES public registry.