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KOUASSI AKON EBROTTIE FNP-C
NPI 1508671017
Nurse Practitioner - Family in Richmond, VA

Active since February 11, 2025PECOS EnrolledAccepts Medicare Assignment
719 N 25TH ST, RICHMOND, VA 23223(804) 780-0840 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Mar 4, 2025, Feb 11, 2025 (3 updates tracked since 2025).

About Kouassi Akon Ebrottie Fnp-c NPPES

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

KOUASSI AKON EBROTTIE FNP-C (NPI 1508671017) is an individual family provider in Richmond, Virginia, licensed in Virginia (0024194499) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1508671017
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKOUASSI AKON EBROTTIECredential: FNP-C
Location Address719 N 25TH STRichmond, VA 23223-6539
Mailing Address910 Goddin St Apt 218Richmond, VA 23231-3208 · (281) 416-6698
Phone(804) 780-0840
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 11, 2025
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1508671017 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 · 0024194499
719 N 25TH ST, Richmond, VA 23223
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kouassi Akon Ebrottie 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 ID5092204552
PECOS Enrollment IDI20251027002205
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.

Medicare Billing Reassignment

Medicare enrollment records show Kouassi Ebrottie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vernon J Harris East End Community Health Center
Same address
Federally Qualified Health Center (FQHC)
719 NORTH 25TH STREET
Richmond, VA 23223
  • Reassigned Medicare billing, Virginia enrollment
  • 44 clinicians in this Medicare group
NPI 1972636330 (804) 780-0840

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 23223 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.

KATHERINE BURTS JENNELL RDH
Dental Hygienist
719 N 25TH ST
RICHMOND, VA 23223
Henrico County (804) 780-0840
DR. PAULINA ESSAH M.D.
Internal Medicine
719 N 25TH ST
RICHMOND, VA 23223
Henrico County (804) 253-1963
NICOLE E JONES-OJO FNP-BC
Nurse Practitioner (Family)
719 N 25TH ST
RICHMOND, VA 23223
Henrico County (804) 780-0840
VIRGINIA PARR LCSW
Social Worker
719 N 25TH ST
RICHMOND, VA 23223
Henrico County (804) 780-0840
RUDI JOHNSON DMD
Dentist
719 N 25TH ST
RICHMOND, VA 23223
Henrico County (804) 780-0840
MR. SHERWOOD ALFONSO RANDOLPH JR. LCSW
Social Worker (Clinical)
719 N 25TH ST
RICHMOND, VA 23223
Henrico County (804) 591-8696
CATHERINE GOODALL MD
Pediatrics
719 N 25TH ST
RICHMOND, VA 23223
Henrico County (804) 780-0840
DR. RODNEY HARRY COWANS MD
General Practice
719 N 25TH ST
RICHMOND, VA 23223
Henrico County (804) 253-1977

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 Kouassi Ebrottie's NPI number?

The NPI number for Kouassi Ebrottie is 1508671017. It was assigned to this individual provider in the NPPES registry on February 11, 2025.

Where is Kouassi Ebrottie located?

Kouassi Ebrottie practices at 719 N 25th St, Richmond, VA 23223. The listed phone number is (804) 780-0840.

What is Kouassi Ebrottie's specialty?

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

Is Kouassi Ebrottie enrolled in Medicare?

Yes. Kouassi Ebrottie 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.

Which organization bills Medicare for Kouassi Ebrottie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kouassi Ebrottie reassigns Medicare benefits to Vernon J Harris East End Community Health Center (Richmond, VA). The 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 Kouassi Ebrottie'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 Kouassi Ebrottie was last updated on September 11, 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.