MRS. AFUA B ADDO (NP) – Family Nurse Practitioner, NPI 1629598289

MRS. AFUA B ADDO (NP) is a healthcare provider. based in Bristow, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 0024174799 (VA). The NPI Number for MRS. AFUA B ADDO (NP) is 1629598289

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AFUA B ADDO (NP)
NPI
1629598289
Phone
(804) 503-7874
Address
12163 Formby St
Enumeration Date
26 June 2017
Last Update Date
7 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7033217000
Graduation Year
2017 (9 years ago)
PAC ID
4981954534
Group Practice PAC ID
9739136847
Professional Enrollment ID
I20180904000419
Address ID
VA220314512FA8221XDRXX509
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for MRS. AFUA B ADDO (NP)

  • 12163 Formby St

    Bristow, VA 201362031

    Phone: (804) 503-7874

    Type: Location

  • 8221, Willow Oaks Corporate Drive, Pine Ridge, Annandale, Fairfax County, Virginia, 22031, United States

    FAIRFAX, VA 220314512

    Phone: (703) 207-6986

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $2,902.

Total Amount is formed as General ($2,902) + Research ($0) + Ownership ($0) = $2,902.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($676).

Total Amount

$2,902

General + Research + Ownership

Payments

31

Total payment records

General Amount

$2,902

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

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: 2018-09-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20180904000419INurse PractitionerDCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20136)

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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: 9739136847View full group profile
NameSpecialtyState
Nurse PractitionerVA
P S Y C H I A T R YMD
P S Y C H I A T R YDC
P S Y C H I A T R YVA
Clinical PsychologistVA
Mental Health CounselorVA
Clinical Social WorkerVA
P S Y C H I A T R YVA
Clinical Social WorkerVA
Internal MedicineVA

Reviews

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Frequently asked questions

What federal number belongs to MRS. AFUA B ADDO (NP)?
The federal identifier for MRS. AFUA B ADDO (NP) is NPI 1629598289.
Does this profile mean MRS. AFUA B ADDO (NP) is currently active?
Yes — MRS. AFUA B ADDO (NP) appears active in the national provider directory.
What kind of provider is MRS. AFUA B ADDO (NP)?
The page reflects Family Nurse Practitioner for MRS. AFUA B ADDO (NP). Clinical services aligned with this taxonomy classification.
What location shows for MRS. AFUA B ADDO (NP)?
We surface Bristow, Virginia for MRS. AFUA B ADDO (NP) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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