Kuumba Community Health & Wellness Center, Inc
A Medicare group practice based in Roanoke, VA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1052308632), with 32 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1052308632
- Also listed as
- Kuumba Community Health and Wellness Center, Inc
- Provider type
- MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- VA
- Enrollments
- 4
- Group size
- 15 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20211220002125 | VA | Part A Provider - Federally Qualified Health Center (FQHC) | 1821760265 |
| O20210218000878 | VA | MDPP Supplier - in-Person MDPP Supplier | 1205815420 |
| O20040427000330 | VA | Part B Supplier - Clinic/Group Practice | 1205815420 |
| O20070130000695 | VA | Part A Provider - Federally Qualified Health Center (FQHC) | 1205815420 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Kuumba Community Health & Wellness Center, Inc.
- Federally Qualified Health Center (FQHC)
- Roanoke, VA
- NPI 1205815420
-
Kuumba Community Health & Wellness Center, Inc.
- Federally Qualified Health Center (FQHC)
- Roanoke, VA
- NPI 1821760265
Practice locations
- Roanoke, VA5
Clinicians 32
Clinicians who reassign their Medicare benefits to this group (31) or whom Care Compare lists as members (15).
-
Laura Marie Allen, PA-C
- Medical Physician Assistant
- Roanoke, VA
- NPI 1164930046
-
B Alison Allsbrook, LCSW
- Clinical Social Worker
- Roanoke, VA
- NPI 1497764906
-
Kaila Kristen Bray, FNP
- Family Nurse Practitioner
- Ashburn, VA
- NPI 1689383879
-
Anja Campbell, FNP
- Emergency Registered Nurse
- Daleville, VA
- NPI 1881070811
-
Patricia Taylor Dell, D.O.
- Family Medicine Physician
- Roanoke, VA
- NPI 1063943934
-
Jessica Renee Dent, LPC
- Professional Counselor
- Roanoke, VA
- NPI 1881122414
-
David Michael Donahue, NP
- Family Nurse Practitioner
- Roanoke, VA
- NPI 1134572449
-
Ester Fraim, FNP
- Family Nurse Practitioner
- Roanoke, VA
- NPI 1093572042
-
Walter Curtis Hodges Jr., DNP, FNP-C,
- Family Nurse Practitioner
- Laurel Fork, VA
- NPI 1083237432
-
Amy Starlite Huddle, LCSW
- Clinical Social Worker
- Sonoma, CA
- NPI 1164780821
-
Malak Waheb Yossef Iskandar, D.O.
- Psychiatry Physician
- Roanoke, VA
- NPI 1841581295
-
Katrina Allyson Mabery
- Clinical Social Worker
- Roanoke, VA
- NPI 1689861254
-
Angela Faye Martin, PNP
- Pediatric Nurse Practitioner
- Union, WV
- NPI 1689921587
-
Pernell Dean Nance, FNP-C, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Martinsville, VA
- NPI 1497397129
-
Renee Cundiff Nauful, FNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Forest, VA
- NPI 1063963874
-
Ayesha Nazli, M.D.
- Family Medicine Physician
- Roanoke, VA
- NPI 1093922197
-
Luisa Fernanda Oster
- Family Nurse Practitioner
- Daleville, VA
- NPI 1447931639
-
Catherine Campbell Parker, NP
- Family Nurse Practitioner
- Bristol, VA
- NPI 1003025727
-
Melanie Quillen
- Clinical Social Worker
- Roanoke, VA
- NPI 1467972604
-
Kelly Nicole Rebkovich
- Family Medicine Physician
- Dublin, VA
- NPI 1194082602
-
Nancy Lea Ridgley, RD,CDE
- Registered Dietitian
- Roanoke, VA
- NPI 1114057072
-
Sabrina L Royall, FNP
- Family Nurse Practitioner
- Roanoke, VA
- NPI 1457996761
-
Carl Saunders Jr., MSN, FNP
- Family Nurse Practitioner
- Daleville, VA
- NPI 1598135733
-
Heather M. Saunders, NP
- Family Nurse Practitioner
- Roanoke, VA
- NPI 1720532062
-
Julia Scales-Shifflett, LCSW
- Clinical Social Worker
- Roanoke, VA
- NPI 1659098895
-
Patricia G Spangler
- Professional Counselor
- Roanoke, VA
- NPI 1811229867
-
Amber J Stafford, CPNP-PC
- Pediatric Nurse Practitioner
- Roanoke, VA
- NPI 1285353417
-
Kylie Ann Tangney, CPNP-PC
- Pediatric Nurse Practitioner
- Roanoke, VA
- NPI 1245879642
-
Kayla Trevillian, DNP, FNP-C
- Family Nurse Practitioner
- Roanoke, VA
- NPI 1386427060
-
Sarah Marie Tutolo, NP
- Nurse Practitioner
- Ashburn, VA
- NPI 1508575598
-
Afsanah Salles Widner, PA
- Physician Assistant
- Roanoke, VA
- NPI 1972872547
-
Amber Nicole Zax, FNP-C
- Family Nurse Practitioner
- Martinsville, VA
- NPI 1033823596
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.