CHARLOTTE ATUNGU AYUK NKEM CRNP-PMH - NPI 1912573577 - Clinical Nurse Specialist in Fairfax, VA

Q: What is Charlotte Ayuk Nkem's NPI number?

The NPI number for Charlotte Ayuk Nkem is 1912573577. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Q: What is Charlotte Ayuk Nkem's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

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About Charlotte Atungu Ayuk Nkem Crnp-pmh NPPES

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

CHARLOTTE ATUNGU AYUK NKEM CRNP-PMH (NPI 1912573577) is an individual psychiatric/mental health provider in Fairfax, Virginia, licensed in Virginia (0024181444) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Waldorf, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1912573577

Entity TypeIndividualFemale

Primary Taxonomy364SP0808X

Provider Legal NameCHARLOTTE ATUNGU AYUK NKEMCredential: CRNP-PMH

Location Address8500 EXECUTIVE PARK AVE STE 200Fairfax, VA 22031-2228

Mailing Address10832 Big Leaf CtWaldorf, MD 20603-5737 · (785) 418-7218 · Fax (301) 396-7346

Phone(703) 698-5220

Fax(301) 396-7346

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 3, 2021

Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration

NPPES CertifiedMarch 19, 2025

✔ NPI 1912573577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0808X

License✔ Licensed in VA · 0024181444

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License R236367 (MD)

8500 EXECUTIVE PARK AVE STE 200, Fairfax, VA 22031

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Secondary Practice Location 1

Location 111100 Billingsley RdWaldorf, MD 20602-3400 · Phone (785) 418-7218

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

Charlotte Atungu Ayuk Nkem Crnp-pmh 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 ID7911300447

PECOS Enrollment IDI20210917002197

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

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.

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.

55 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

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 5

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

MS. HOLLY BETH SEGAL M.S.W.

Social Worker (Clinical)