Individual provider Active NPI

Yvonne Owusu, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Stafford, VA
National Provider Identifier
1003781410
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024194926 Issued in VA
Practice address
556 Garrisonville Rd Ste 210
Stafford, VA 22554-7819
Phone
(571) 216-8863
NPI assigned
Oct 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024194926 VA Primary

Addresses

Primary practice location

556 Garrisonville Rd Ste 210
Stafford, VA 22554-7819

Mailing address

16506 Kramer Estate Dr
Woodbridge, VA 22191-6504
Phone (571) 216-8863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260409000525 VA Practitioner - Nurse Practitioner 9830664614 Reassigns benefits to 1 organization
I20260508001820 DC Practitioner - Nurse Practitioner 9830664614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16506 Kramer Estate Dr
Woodbridge, VA 22191-6504

5290 Shawnee Rd
Alexandria, VA 22312-2310

9722 Groffs Mill Dr
Owings Mills, MD 21117-6341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024194926VAMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1003781410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16506 KRAMER ESTATE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916504",
            "telephone_number": "571-216-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 GARRISONVILLE RD STE 210",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547819",
            "telephone_number": "571-216-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWUSU",
        "first_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024194926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.