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NANA AMA MAKU ODURO FNP-C
NPI 1013618412
Nurse Practitioner - Psychiatric/Mental Health in Woodbridge, VA

Active since March 13, 2023PECOS Enrolled
1455 OLD BRIDGE RD STE 204, WOODBRIDGE, VA 22192(703) 870-0738 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, May 30, 2025, Mar 13, 2023 (3 updates tracked since 2023).

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

NPI1013618412
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNANA AMA MAKU ODUROCredential: FNP-C
Location Address1455 OLD BRIDGE RD STE 204Woodbridge, VA 22192-2727
Mailing Address1455 Old Bridge Rd Ste 204Woodbridge, VA 22192-2727 · (703) 509-6387
Phone(703) 870-0738
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 13, 2023
Last NPPES UpdateAugust 29, 20253 updates tracked since enumeration
NPPES CertifiedAugust 29, 2025
✔ NPI 1013618412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024185663
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0024185663 (VA)
1455 OLD BRIDGE RD STE 204, Woodbridge, VA 22192
Open in Google Maps ↗

Secondary Practice Location 1

Location 11701 Fall Hill Ave Ste 111Fredericksburg, VA 22401-3570 · Phone (703) 870-0738

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

PECOS PAC ID941789481
PECOS Enrollment IDI20260205001537, I20260414003328
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. ELIZABETH CHINURU ONYEJEKWE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1455 OLD BRIDGE RD STE 204, STE 204
WOODBRIDGE, VA 22192
Prince William County (703) 870-0738
HAGAR OSEI NARH
Nurse Practitioner (Psychiatric/Mental Health)
1455 OLD BRIDGE RD STE 204
WOODBRIDGE, VA 22192
Prince William County (703) 956-0729
GODAELLI HEALTHCARE SERVICES
Clinic/Center (Multi-Specialty)
1455 OLD BRIDGE RD STE 204
WOODBRIDGE, VA 22192
Prince William County (703) 870-0738

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.

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 11 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.