Individual provider Active NPI

Adwoa Ansu-Anin, FNP-BC, FNP-C

  • Family Nurse Practitioner
  • Centreville, VA
National Provider Identifier
1154043321
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024185248 Issued in VA
Practice address
5652 Pickwick Rd
Centreville, VA 20120-2057
Phone
(804) 310-7701
NPI assigned
Sep 14, 2022
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024185248 VA Primary
Family Medicine Physician 207Q00000X 0024185248 VA

Addresses

Primary practice location

5652 Pickwick Rd
Centreville, VA 20120-2057

Mailing address

5652 Pickwick Rd
Centreville, VA 20120-2057
Phone (703) 631-9440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20221212001109 DC Practitioner - Nurse Practitioner 7113396250 Reassigns benefits to 1 organization
I20221220002826 VA Practitioner - Nurse Practitioner 7113396250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians

Practice addresses (Care Compare)

180 Maple Ave W
Vienna, VA 22180-5727
Phone (703) 938-5300

20070 Ashbrook Commons PLZ
Unit 104
Ashburn, VA 20147-5035
Phone (571) 479-3116

4600 Cherry Hill Rd
Arlington, VA 22207-3428
Phone (571) 977-5274

4600 Kenmore Ave
Alexandria, VA 22304-1301
Phone (571) 506-1847

6206 Rolling Rd
Springfield, VA 22152-2306
Phone (571) 889-3235

6371 Seven Corners Ctr
Falls Church, VA 22044-2410
Phone (571) 286-5872

9404 A Main St
Fairfax, VA 22031-4032
Phone 47027679312302

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024185248VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Ucc LLC CurrentSince Apr 1, 2024 Accepting new patients
Inova Health Care Services Past Accepting new patients

Locations

20070 Ashbrook Commons Plz
Unit 104
Ashburn, VA 20147
Phone (571) 479-3116

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

Interoperability endpoints

  • Direct secure messaging: aansuanin706140@soc.inova.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1154043321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5652 PICKWICK RD",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201202057",
            "telephone_number": "703-631-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5652 PICKWICK RD",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201202057",
            "telephone_number": "804-310-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSU-ANIN",
        "first_name": "ADWOA",
        "credential": "FNP-BC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185248",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024185248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

Verify at the official NPI Registry.