AMEN C OTUNBA FNP-C
NPI 1043914245
Nurse Practitioner - Family in Lorton, VA

Q: What is Amen Otunba's NPI number?

The NPI number for Amen Otunba is 1043914245. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Q: What is Amen Otunba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amen Otunba was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since March 30, 2023PECOS EnrolledAccepts Medicare Assignment

9500 RICHMOND HWY, LORTON, VA 22079(571) 800-8915(833) 954-5512 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2023, Mar 30, 2023 (2 updates tracked since 2023).

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About Amen C Otunba Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMEN C OTUNBA FNP-C (NPI 1043914245) is an individual family provider in Lorton, Virginia, licensed in Virginia (0024186850) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Sentara Northern Virginia Medical Center, and maintains a secondary practice location in Fairfax.

NPPES Registry Identity

NPI1043914245

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMEN C OTUNBACredential: FNP-C

Location Address9500 RICHMOND HWYLorton, VA 22079-2124

Mailing Address3360 Post Office Rd Unit 1796Woodbridge, VA 22195-8052

Phone(571) 800-8915

Fax(833) 954-5512

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 30, 2023

Last NPPES UpdateJuly 19, 20232 updates tracked since enumeration

NPPES CertifiedJuly 19, 2023

✔ NPI 1043914245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024186850

9500 RICHMOND HWY, Lorton, VA 22079

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Secondary Practice Location 1

Location 112255 Fair Lakes PkwyFairfax, VA 22033-3952 · Phone (571) 458-7279

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amen C Otunba Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456718626

PECOS Enrollment IDI20230601003157, I20240501000100

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

96 services37 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services19 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

18 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Northern Virginia Medical Center

Acute Care Hospitals · Woodbridge, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490113

Location2300 Opitz BoulevardWoodbridge, VA 22191 · Prince William County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22079 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY TERESA RYDER M.D.

Family Medicine