Phanta Jah
NPI 1174296461ActiveIndividual· Nurse Practitioner, Primary Care· Falls Church, VA
Nurse Practitioner, Primary Care with Ennoble Hc Dmv LLC, practicing in Falls Church, Virginia. Their prescriptions cost Medicare Part D more than their services did: $401,932 for 6,701 claims, against $151,732 paid for services in 2024.
Overview
| NPI | 1174296461 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 1, 2021 |
| Last updated in NPPES | Aug 1, 2022 |
| Certified by provider | Aug 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 0024182355 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (DC); Practitioner - Nurse Practitioner (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 173 |
|---|---|
| Services billed | 1,895 across 14 procedure codes |
| Paid by Medicare | $151,732 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,701 · 6,942 30-day fills |
|---|---|
| Patients | 174 |
| Total drug cost | $401,932 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Ennoble Hc Dmv LLCAtlanta, GA · 113 clinicians
Other facilities
- Bayada Home Health Care IncHome health agency · Falls Church, VA
- Bayada Home Health Care IncHome health agency · Sterling, VA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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