Individual provider Active NPI

Mammietta O Darko, FNP

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1891485801
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0033484 Issued in OH
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

Updated by the provider on Jan 6, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922002925 OH Practitioner - Nurse Practitioner 4183078298 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0033484OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CG Medical Associates Inc CurrentSince Apr 12, 2024 Accepting new patients
Molina Care Connections, LLC. CurrentSince Sep 11, 2023 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

Verify at the official NPI Registry.