Eveline Fohtung, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024191081 Issued in VA

Practice address

11 Smokehouse Dr
Fredericksburg, VA 22406-8455

Phone

(571) 762-9099

NPI assigned

Aug 29, 2024

Last updated

Oct 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Potomac Shores Mental Health and Wellness LLCGroup PAC ID 7719379072, 5 clinicians

Holisticare Behavioral Health SVS LLCGroup PAC ID 8527426519, 3 clinicians

Psychogeriatric Services LLCGroup PAC ID 6002719226, 122 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Faith and Trust Psychiatric Living

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vienna, VA
  • NPI 1447130679
  Medicare reassignment NPD Authorized official
• Holisticare Behavioral Health SVS LLC

  • Psychiatry Physician
  • Alexandria, VA
  • NPI 1588274435

  DC

  Medicare reassignment Care Compare group NPD
• Potomac Shores Mental Health & Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbridge, VA
  • NPI 1902562507
  Medicare reassignment Care Compare group NPD
• Psychogeriatric Services LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1588689483

  DC, VA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1649004979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SMOKEHOUSE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224068455",
            "telephone_number": "571-762-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SMOKEHOUSE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224068455",
            "telephone_number": "571-762-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOHTUNG",
        "first_name": "EVELINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024191081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Floyd
• Yvette E Flynn, DPT
• Focus Behavioral Services
• Mary Ruth Fofanah, NA
• Michael Paul Fogel, PA-C
• Kehinde Matilda Folawewo, M.D
• Jean Foley, RN
• Kristin Foltz, PTA
• Alima Fonderson
• Natalia A Fongrat, DO

• Psychiatric/Mental Health Nurse Practitioner in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• 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 21, 2025; 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.