Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth Mbuen

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1932938016

Kenneth Mbuen is a Nurse Practitioner in Manassas, Virginia. Qualified in 2023, 3 years ago. Practices with Aevum Bh VA LLC, a 35-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2024
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Practice location Address checks out

10562 Tattersall Dr
Manassas, VA 20112-2407
Phone: (336) 740-6347
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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 0024190787 (VA)

Record details

NPI number1932938016
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 29, 2024
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024
Mailing address10562 Tattersall Dr, Manassas, VA 20112-2407

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 Aevum Bh Va Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Manassas