Koda Brinker, PMHNP-BC
NPI 1043055502 · Psychiatric/Mental Health Nurse Practitioner · Fairfax, VA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Koda Brinker, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Fairfax, VA (NPI 1043055502).
Provider details
- NPI number
- 1043055502
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- NP500013147 (DC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 1140 3rd St Ne Ste 200Washington, DC 20002-7899Phone: (571) 463-8620
- 1629 K St Nw Ste 300Washington, DC 20006-1631Phone: (571) 463-8620
- 800 S Frederick Ave Ste 200Gaithersburg, MD 20877-4152Phone: (571) 463-8620
Registry dates
- Enumerated
- 2024-06-27
- Last updated
- 2024-11-26
- Certified
- 2024-11-26
Frequently asked questions
- What is Koda Brinker's NPI number?
- Koda Brinker's National Provider Identifier (NPI) is 1043055502, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Koda Brinker's specialty?
- Koda Brinker is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Koda Brinker located?
- Koda Brinker's practice location on file with NPPES is 10304 Eaton Pl Ste 100, Fairfax, VA 22030-2221.
- What is Koda Brinker's phone number?
- The practice phone number listed in the NPPES registry for Koda Brinker is (571) 463-8620.
- Does Koda Brinker accept Medicare?
- Koda Brinker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Koda Brinker's NPI active?
- Yes — Koda Brinker's NPI (1043055502) is active in the NPPES registry as of the last update on 2024-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.