ELIZABETH NYAKO ODOOM (FNP) – Nurse Practitioner, NPI 1386980654

ELIZABETH NYAKO ODOOM (FNP) is a healthcare provider. based in Falls church, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 0024170486 (VA). The NPI Number for ELIZABETH NYAKO ODOOM (FNP) is 1386980654

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH NYAKO ODOOM (FNP)
NPI
1386980654
Phone
(703) 776-7443
Address
3300 Gallows Rd
Enumeration Date
14 December 2012
Last Update Date
15 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7036982740
Graduation Year
2012 (14 years ago)
PAC ID
7517112659
Group Practice PAC ID
2466351093
Professional Enrollment ID
I20160620000322
Address ID
VA220423307FA3300XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for ELIZABETH NYAKO ODOOM (FNP)

  • 3300 Gallows Rd

    Falls Church, VA 220423307

    Phone: (703) 776-7443

    Type: Location

  • PO BOX 37174

    BALTIMORE, MD 212973174

    Phone: (571) 423-5699

    Fax: (571) 423-5698

    Type: Mailing

  • 6201 CENTREVILLE RD STE 200

    CENTREVILLE, VA 201212626

    Phone: (703) 830-5600

    Fax: (703) 830-6942

    Type: Location

  • 3300 GALLOWS RD

    FALLS CHURCH, VA 220423307

    Phone: (703) 776-7443

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-04-09 • Largest payer in this snapshot: PFIZER INC. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$20
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130221000395INurse PractitionerDCTBD
I20160620000322INurse PractitionerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes134134$0
87804Detection test by immunoassay with direct visual observation for influenza virus7637$0
99213Established patient office or other outpatient visit, 20-29 minutes6160$0
81003Automated urinalysis test4141$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen3434$0
View full utilization report →

Insurance plans in this area (ZIP 22042)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466351093View full group profile

Reviews

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Frequently asked questions

What number should I use to identify ELIZABETH NYAKO ODOOM (FNP) for billing?
Administrative and clinical systems typically use NPI 1386980654 for ELIZABETH NYAKO ODOOM (FNP).
Is ELIZABETH NYAKO ODOOM (FNP)'s NPI status active today?
Active status means ELIZABETH NYAKO ODOOM (FNP)'s NPI record is not deactivated in the public file.
What services align with ELIZABETH NYAKO ODOOM (FNP)'s listing?
ELIZABETH NYAKO ODOOM (FNP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ELIZABETH NYAKO ODOOM (FNP) tied to Falls Church, Virginia?
If you are local to Falls Church, Virginia, ELIZABETH NYAKO ODOOM (FNP) may be relevant to your search.
Who maintains ELIZABETH NYAKO ODOOM (FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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