Individual provider Active NPI

Akelah Nicole Glenn, NP

  • Family Nurse Practitioner
  • Stafford, VA
National Provider Identifier
1639942931
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024188577 Issued in VA
Practice address
902 Garrisonville Rd
Stafford, VA 22556-3904
Phone
(540) 659-1313
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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 0024188577 VA Primary

Addresses

Primary practice location

902 Garrisonville Rd
Stafford, VA 22556-3904

Mailing address

125 Morning Glory CT
Stafford, VA 22554-2639
Phone (301) 529-0220

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
I20260312004102 DC Practitioner - Nurse Practitioner 8123501558 Reassigns benefits to 1 organization
I20260316003392 VA Practitioner - Nurse Practitioner 8123501558 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
Minuteclinic Diagnostic of Virginia LLCGroup PAC ID 6709960891, 142 clinicians

Practice addresses (Care Compare)

902 Garrisonville Rd
Stafford, VA 22556-3904
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024188577VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidmed Inc. Current Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Feb 26, 2026 Accepting new patients

Locations

8356 Bell Creek Rd
Mechanicsville, VA 23116
Phone (804) 559-5437

5021 Craig Rath Blvd
Bldg Iv
Midlothian, VA 23112
Phone (804) 422-5437

20 Doc Stone Rd
Stafford, VA 22556
Phone (540) 602-7766

902 Garrisonville Rd
Stafford, VA 22556
Phone (540) 659-1313

Interoperability endpoints

  • Direct secure messaging: akelahglenn@kidmed.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1639942931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MORNING GLORY CT",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225542639",
            "telephone_number": "301-529-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 GARRISONVILLE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563904",
            "telephone_number": "540-659-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "AKELAH",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024188577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.