Josephine Pangan Bolivar-Kerns, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024183581 Issued in VA

Practice address

9299 Tower Side Dr Apt 438
Fairfax, VA 22031-6032

Phone

(414) 939-6346

NPI assigned

Feb 6, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Privia Medical Group, LLC 1,522 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: josephine.bolivar-kerns.1@8042.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC, Family Medicine, VA

  Medicare reassignment Care Compare group NPD
• Privia Medical Group, LLC

  • Podiatrist
  • Falls Church, VA
  • NPI 1205787322
  Care Compare group
• Privia Medical Group, LLC

  • Foot & Ankle Surgery Podiatrist
  • Leesburg, VA
  • NPI 1558212449
  Care Compare group
• Privia Medical Group, LLC

  • Orthopaedic Surgery Physician
  • MC Lean, VA
  • NPI 1700737699
  Care Compare group
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Potomac, MD
  • NPI 1316898299
  Care Compare group
• Privia Medical Group, LLC

  • Nephrology Physician
  • Rockville, MD
  • NPI 1851246722
  Care Compare group
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Nova Physician Wellness Center PLLC

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1215307400

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1013661347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9299 TOWER SIDE DR APT 438",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220316032",
            "telephone_number": "414-939-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9299 TOWER SIDE DR APT 438",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220316032",
            "telephone_number": "414-939-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIVAR-KERNS",
        "first_name": "JOSEPHINE",
        "middle_name": "PANGAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-06",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024183581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Bockus, MD
• Bodies in Motion Physical Therapy III, LLC
• Meghan Bogue, MA/CAGS
• Rosemary Cherian Bolden, MS
• Stephanie Bolger
• Bolivian Health Services LLC
• Christineb Bolognese, PHYSICAL THERAPIST
• Bom Care Inc
• Sarah Bonanno, OTR/L
• Jean Bond, LCSW

• All providers in Fairfax, VA
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.