AUGUSTINE AHENKORAH PMHNP-BC
NPI 1376118182
Nurse Practitioner - Psychiatric/Mental Health in Fairfax, VA

Q: What is Augustine Ahenkorah's NPI number?

The NPI number for Augustine Ahenkorah is 1376118182. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Q: What is Augustine Ahenkorah's specialty?

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

Active since May 24, 2021PECOS EnrolledAccepts Medicare Assignment

4410 SHIRLEY GATE RD, FAIRFAX, VA 22030(703) 489-4444 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2024, Jun 23, 2023, May 24, 2021 (3 updates tracked since 2021).

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About Augustine Ahenkorah Pmhnp-bc NPPES

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

AUGUSTINE AHENKORAH PMHNP-BC (NPI 1376118182) is an individual psychiatric/mental health provider in Fairfax, Virginia, licensed in Virginia (2023059114) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376118182

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameAUGUSTINE AHENKORAHCredential: PMHNP-BC

Location Address4410 SHIRLEY GATE RDFairfax, VA 22030-5518

Mailing Address4410 Shirley Gate RdFairfax, VA 22030-5518 · (170) 205-9452

Phone(703) 489-4444

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 24, 2021

Last NPPES UpdateNovember 12, 20243 updates tracked since enumeration

NPPES CertifiedNovember 12, 2024

✔ NPI 1376118182 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 · 2023059114

Also ListedRegistered NurseTaxonomy 163W00000X · License 0001271003 (VA)

4410 SHIRLEY GATE RD, Fairfax, VA 22030

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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

Augustine Ahenkorah 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 ID5597119800

PECOS Enrollment IDI20231004003061

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 22030 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 16

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

OLUSOLA EDWARDS LPC, LSATP

Counselor (Professional)