Individual provider Active NPI

Samuel Ofosu Osafo, NP

  • Family Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1689449316
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024189349 Issued in VA
Practice address
14163 Rockinghorse Dr
Woodbridge, VA 22193-3769
Phone
(571) 278-5430
NPI assigned
Nov 22, 2023
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 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 0024189349 VA Primary

Addresses

Primary practice location

14163 Rockinghorse Dr
Woodbridge, VA 22193-3769

Mailing address

14163 Rockinghorse Dr
Woodbridge, VA 22193-3769
Phone (571) 278-5430

Other practice location 1

521 N Quincy St
Arlington, VA 22203-2136
Phone (703) 841-0703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20250403001610 DC Practitioner - Nurse Practitioner 8921522624 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

Practice addresses (Care Compare)

521 N Quincy St
Arlington, VA 22203-2136
Phone 70384107033005

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
National Capital Treatment and Recovery-Maryland Family CurrentSince Mar 1, 2025 Accepting new patients
National Capital Treatment and Recovery CurrentSince Mar 1, 2025 Accepting new patients

Locations

120 S Payne St
Alexandria, VA 22314
Phone 70384107033005

1554 Columbia Pike
Arlington, VA 22204
Phone (703) 649-8014

200 N Glebe Rd
Ste 104
Arlington, VA 22203
Phone (703) 774-5625

46 S Glebe Rd
Ste 300
Arlington, VA 22204

521 N Quincy St
Arlington, VA 22203
Phone 70384107033005

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": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1689449316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14163 ROCKINGHORSE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933769",
            "telephone_number": "571-278-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14163 ROCKINGHORSE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933769",
            "telephone_number": "571-278-5430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 N Quincy St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222032136",
            "country_code": "US",
            "telephone_number": "703-841-0703",
            "fax_number": "571-297-9809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSAFO",
        "first_name": "SAMUEL",
        "middle_name": "OFOSU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-22",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024189349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.