Individual provider Active NPI

Edith Nkeze, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1699500496
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024191507 Issued in VA
Practice address
52 Townes PL
Fredericksburg, VA 22405-2093
Phone
(734) 277-7269
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024191507 VA Primary

Addresses

Primary practice location

52 Townes PL
Fredericksburg, VA 22405-2093

Mailing address

754 Warrenton Rd
Fredericksburg, VA 22406-1098

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250113003585 VA Practitioner - Certified Clinical Nurse Specialist (CNS) 4587192984 Reassigns benefits to 2 organizations
I20250620001439 DC Practitioner - Certified Clinical Nurse Specialist (CNS) 4587192984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connections Healthva LLCGroup PAC ID 5991241986, 19 clinicians

Practice addresses (Care Compare)

14011 Worth Ave
Suite 130And150
Woodbridge, VA 22192-4123
Phone (703) 543-9948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
0024191507VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Healthva, LLC CurrentSince Nov 18, 2025 Accepting new patients
Vital Health & Integrative Care CurrentSince Dec 1, 2024 Accepting new patients
Connections Healthva, LLC CurrentSince Nov 18, 2025 Accepting new patients
Connections Healthva, LLC Current Accepting new patients
Grace and Mercy Community Services Incorporated CurrentSince May 15, 2025 Accepting new patients

Locations

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

4601 Presidents Dr
Ste 232
Lanham, MD 20706
Phone (202) 359-9725

6131 James Madison Pkwy
King George, VA 22485
Phone (571) 505-1744

14011 Worth Ave
Ste 130150
Woodbridge, VA 22192
Phone (703) 543-9948

Organizations & group practices 5

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": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1699500496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 WARRENTON RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224061098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 TOWNES PL",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052093",
            "telephone_number": "734-277-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKEZE",
        "first_name": "EDITH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024191507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.