Active NPI
Mammietta O Darko, FNP
- Family Nurse Practitioner
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0033484
- Practice address
- 4532 Plank Rd
Fredericksburg, VA 22407-0139 - Phone
- (540) 252-1840
- NPI assigned
- May 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0033484 | OH | Primary |
Addresses
Primary practice location
4532 Plank Rd
Fredericksburg, VA 22407-0139
Mailing address
9315 Blue Pine LN
Fredericksburg, VA 22407-7392
Phone (805) 990-3568
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230922002925 | OH | Practitioner - Nurse Practitioner | 4183078298 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0033484 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CG Medical Associates Inc | Current | Accepting new patients | |
| Molina Care Connections, LLC. | Current | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100
3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042
3187 Western Row Rd
Ste 116
Maineville, OH 45039
Phone (513) 770-4122
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1891485801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9315 BLUE PINE LN",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224077392",
"telephone_number": "805-990-3568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4532 PLANK RD",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224070139",
"telephone_number": "540-252-1840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARKO",
"first_name": "MAMMIETTA",
"middle_name": "O",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-11",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0033484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.