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DR. ELLEN KODUAH-AGBO DNP, APRN, PMHNP-BC
NPI 1306416672
Nurse Practitioner - Psychiatric/Mental Health in Richmond, VA

Active since June 29, 2021PECOS EnrolledAccepts Medicare Assignment
6800 PARAGON PL STE 200, RICHMOND, VA 23230(804) 562-9997 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 17, 2022, Nov 17, 2021, Jun 29, 2021 (3 updates tracked since 2021).

About Dr. Ellen Koduah-agbo Dnp, Aprn, Pmhnp-bc NPPES

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

DR. ELLEN KODUAH-AGBO DNP, APRN, PMHNP-BC (NPI 1306416672) is an individual psychiatric/mental health provider in Richmond, Virginia, licensed in Virginia (0024181591) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306416672
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. ELLEN KODUAH-AGBOCredential: DNP, APRN, PMHNP-BC
Location Address6800 PARAGON PL STE 200Richmond, VA 23230-1652
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5352
Phone(804) 562-9997
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 29, 2021
Last NPPES UpdateApril 26, 20233 updates tracked since enumeration
NPPES CertifiedApril 26, 2023
✔ NPI 1306416672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024181591
6800 PARAGON PL STE 200, Richmond, VA 23230
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Dr. Ellen Koduah-agbo Dnp, Aprn, Pmhnp-bc 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 ID446655971
PECOS Enrollment IDI20210825003931
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 23230 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 20

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

LATURRA BENSON BCBA
Behavior Analyst
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Henrico County (804) 562-9997
VIRGINIA CARLA LYNNE EDWARDS MA
Counselor (Mental Health)
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Henrico County (804) 562-9997
CHERIAL DENYTHIA STEPTOE MSED, CA
Counselor (Mental Health)
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Henrico County (804) 562-9997
KAROLINA KUTYLO MITRAJ MS, BCBA
Behavior Analyst
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Henrico County (804) 562-9997
MADISON HARRIS
Behavior Technician
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Henrico County (804) 562-9997
SHELBY GRAMMENOS
Social Worker (Clinical)
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Henrico County (804) 562-9997
MEREDITH ANN KRIEGER MA
Behavior Analyst
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Henrico County (804) 562-9997
FAMILY INSIGHT INC
Behavior Analyst
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Henrico County (540) 486-5910

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 Ellen Koduah-agbo's NPI number?

The NPI number for Ellen Koduah-agbo is 1306416672. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Ellen Koduah-agbo located?

Ellen Koduah-agbo practices at 6800 Paragon Pl Ste 200, Richmond, VA 23230. The listed phone number is (804) 562-9997.

What is Ellen Koduah-agbo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ellen Koduah-agbo enrolled in Medicare?

Yes. Ellen Koduah-agbo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ellen Koduah-agbo was last updated on April 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.