Arnold Mandela Nana Djomo, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024190910 Issued in VA

Practice address

160 Merchant St Ste 100
Winchester, VA 22603-4772

Phone

(540) 536-5560

Fax

(540) 536-5561

NPI assigned

Mar 26, 2021

Sex

Male

Sole proprietor

Yes

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 CO, 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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winchester Medical CenterGroup PAC ID 0244134021, 313 clinicians

Valley Regional Enterprises, IncGroup PAC ID 0446164495, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winchester Medical Center Hospital, Winchester, VA, CCN 490005

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ananadjomo643046@valleyhealth.direct-ci.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.

• Valley Regional Enterprises, Inc

  • Urgent Care Clinic/Center
  • Winchester, VA
  • NPI 1235178591

  VA

  Medicare reassignment Care Compare group NPD
• Winchester Medical Center

  • Critical Care Medicine (Internal Medicine) Physician
  • Winchester, VA
  • NPI 1679711261

  VA

  Medicare reassignment Care Compare group NPD
• Afterours Inc

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1871626747

  CO

  Medicare reassignment NPD
• Winchester Medical Center

  • Pediatrics Physician
  • Winchester, VA
  • NPI 1013874742
  NPD
• Winchester Medical Center

  • Rural Health Clinic/Center
  • Winchester, VA
  • NPI 1467045922
  NPD
• Afterours Inc

  • Urgent Care Clinic/Center
  • Thornton, CO
  • NPI 1114008851
  NPD
• Winchester Medical Center

  • Home Health Agency
  • Winchester, VA
  • NPI 1538142005
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Winchester Medical Center

  • General Acute Care Hospital
  • Winchester, VA
  • NPI 1619928017

  Hospital

  Care Compare affiliation
• Winchester Medical Center

  • Clinical Medical Laboratory
  • Winchester, VA
  • NPI 1790024909

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1679150460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 320",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012889",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MERCHANT ST STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226034772",
            "telephone_number": "540-536-5560",
            "fax_number": "540-536-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANA DJOMO",
        "first_name": "ARNOLD",
        "middle_name": "MANDELA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024190910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ananadjomo643046@ValleyHealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "160 Merchant St Ste 100",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226034772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mypotential Virginia, LLC
• Ifrah Naeem, MD
• Pamela Pitcock Nagley
• Katie Alexis Nagy
• Melissa Nakaishi, SBD
• Colleen Nappi, NP
• Louis J Nardelli, DO
• James K Nashed, MD
• Trisha Bansal Nashed, MD
• Aman Nasir, M.D.

• All providers in Winchester, VA
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.