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

Samuel Lwanyaga, AGPCNP

Individual provider Nurse Practitioner · NPI 1154181022

Samuel Lwanyaga, AGPCNP is a Nurse Practitioner in Gainesville, Virginia. Qualified in 2024, 2 years ago. Practices with Northstar Health Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024

Practice location Address checks out

7501 Heritage Village Plz
Gainesville, VA 20155-3078
Phone: (157) 150-5285
Fax: (571) 248-6455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024189728 (VA)

Record details

NPI number1154181022
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP
Sole proprietorYes
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Northstar Health Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gainesville