Individual provider Active NPI

Eugenia Y Obeng, NP

  • Family Nurse Practitioner
  • Purcellville, VA
National Provider Identifier
1609641471
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024188803 Issued in VA
Practice address
841 Mildenhall CT
Purcellville, VA 20132-9688
Phone
(571) 277-4006
NPI assigned
Nov 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024188803 VA Primary

Addresses

Primary practice location

841 Mildenhall CT
Purcellville, VA 20132-9688

Mailing address

841 Mildenhall CT
Purcellville, VA 20132-9688
Phone (571) 277-4006

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
I20250213000337 DC Practitioner - Nurse Practitioner 5890225361 Reassigns benefits to 2 organizations
I20250919001670 VA Practitioner - Nurse Practitioner 5890225361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Health IncGroup PAC ID 5496168320, 5 clinicians

Practice addresses (Care Compare)

106 Elden St
Suite 18B
Herndon, VA 20170-4826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gaddipati PLLC CurrentSince Jan 22, 2025 Accepting new patients
Northstar Health Inc CurrentSince Jun 3, 2025 Accepting new patients
Northstar Health Inc PastSince Jun 22, 2021 Accepting new patients
Icare Mobile Wound Care VA PLLC PastSince Jun 3, 2025 Accepting new patients

Locations

106 Elden St
Ste 18B
Herndon, VA 20170
Phone (305) 701-9901

24430 Millstream Dr
Stone Ridge, VA 20105
Phone (703) 957-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23503/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1609641471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 MILDENHALL CT",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201329688",
            "telephone_number": "571-277-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 MILDENHALL CT",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201329688",
            "telephone_number": "571-277-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBENG",
        "first_name": "EUGENIA",
        "middle_name": "Y",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024188803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

Verify at the official NPI Registry.