Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Augustine Ahenkorah, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1376118182

Augustine Ahenkorah, PMHNP-BC is a Nurse Practitioner in Fairfax, Virginia. Qualified in 2023, 3 years ago. Practices with Northern Virginia Psychiatric Group, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

4410 Shirley Gate Rd
Fairfax, VA 22030-5518
Phone: (703) 489-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2023059114 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001271003 (VA)

Record details

NPI number1376118182
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMay 24, 2021
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northern Virginia Psychiatric Group — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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