Individual provider Active NPI

Abdul Alpha Kawa, ACNPC-AG, PMHNP

  • Acute Care Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1891566444
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024189138 Issued in VA
Practice address
23 Rollingside Dr
Fredericksburg, VA 22406-7268
Phone
(133) 668-1288
NPI assigned
Jan 12, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024189138 VA Primary

Addresses

Primary practice location

23 Rollingside Dr
Fredericksburg, VA 22406-7268

Mailing address

23 Rollingside Dr
Fredericksburg, VA 22406-7268
Phone (540) 403-4264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240311004021 VA Practitioner - Nurse Practitioner 9537505698 Reassigns benefits to 2 organizations

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
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians

Practice addresses (Care Compare)

1945 Roanoke Blvd
Salem, VA 24153-6408
Phone (540) 345-3894

Hospital & facility affiliations

  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024189138VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Corporation CurrentSince Feb 1, 2024 Accepting new patients
Pai Participant 1 LLC CurrentSince Mar 17, 2024 Accepting new patients

Locations

2400 McKinney Blvd
Colonial Beach, VA 22443
Phone (804) 224-2222

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

9101 Bon Air Crossings Dr
North Chesterfield, VA 23235
Phone (804) 521-9980

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1891566444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ROLLINGSIDE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224067268",
            "telephone_number": "540-403-4264",
            "fax_number": "540-301-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ROLLINGSIDE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224067268",
            "telephone_number": "133-668-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWA",
        "first_name": "ABDUL",
        "middle_name": "ALPHA",
        "credential": "ACNPC-AG, PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-12",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024189138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.