Kossi Pierre Eklou, DNP, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024176205 Issued in VA

Practice address

8680 Hospital Way
Manassas, VA 20110-4287

Phone

(703) 369-8464

Fax

(703) 369-8467

NPI assigned

Jun 22, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prince William County Community Services BoardGroup PAC ID 7113912973, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keklou659577@direct.novanthealth.org
• Direct secure messaging: kossi.eklou.1@29379.direct.athenahealth.com

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.

• Prince William County Community Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manassas, VA
  • NPI 1053402800

  VA

  Medicare reassignment Care Compare group NPD
• Uva Community Health Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Charlottesville, VA
  • NPI 1598475741

  VA

  Medicare reassignment NPD
• Prince William County

  • Ambulance
  • Prince William, VA
  • NPI 1235437385
  Care Compare group NPD
• Uva Community Health Medical Group, LLC

  • Psychiatry Physician
  • Manassas, VA
  • NPI 1518322668
  NPD

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1609360635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "703-369-8464",
            "fax_number": "703-369-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 HOSPITAL WAY",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104287",
            "telephone_number": "703-369-8464",
            "fax_number": "703-369-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKLOU",
        "first_name": "KOSSI",
        "middle_name": "PIERRE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-22",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024176205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keklou659577@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8680 Hospital Way",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201104287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edmund Stephen Petrilli, M.D., P.C.
• Natasha Shannon Edwards, LPC
• Sara Elizabeth Edwards
• Alan C Egge, M.D.
• Darryl Lyn Einhorn, PA-C
• Anne-Pauline Uchenna Ekoh, PMHNP-BC
• Valeena Noemi Ekstrom, RN
• Emil El-Ayazra
• Marowah El-Jlailati
• Elaine K. Sours, D.D.S., P.C.

• All providers in Manassas, VA
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.