Individual provider Active NPI

Eugenia Mawufenya Kwa-Kofi, APRN

  • Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1366315715
Registry record updated Dec 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024194760 Issued in VA
Practice address
14011 Big Crest LN
Woodbridge, VA 22191-5578
Phone
(703) 401-6365
NPI assigned
Sep 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024194760 VA Primary

Addresses

Primary practice location

14011 Big Crest LN
Woodbridge, VA 22191-5578

Mailing address

14011 Big Crest LN
Woodbridge, VA 22191-5578
Phone (703) 401-6365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260319000925 VA Practitioner - Nurse Practitioner 9436633385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Embracing Health, Inc.Group PAC ID 6608051883, 5 clinicians

Practice addresses (Care Compare)

385 Garrisonville Rd
Suite 121
Stafford, VA 22554-8900
Phone (540) 318-8602

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024194760VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kharis Care Partners Current Accepting new patients

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 3

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": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765670400000",
    "number": "1366315715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14011 BIG CREST LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915578",
            "telephone_number": "703-401-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14011 BIG CREST LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915578",
            "telephone_number": "703-401-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWA-KOFI",
        "first_name": "EUGENIA",
        "middle_name": "MAWUFENYA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-12-14",
        "certification_date": "2025-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024194760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.