Individual provider Active NPI

Elia Tessera, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1013682681
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024182445 Issued in VA
Practice address
5523 Neddleton Ave
Woodbridge, VA 22193-4113
Phone
(703) 989-3169
NPI assigned
Aug 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024182445 VA Primary

Addresses

Primary practice location

5523 Neddleton Ave
Woodbridge, VA 22193-4113

Mailing address

5523 Neddleton Ave
Woodbridge, VA 22193-4113
Phone (571) 202-9021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220321000504 DC Practitioner - Nurse Practitioner 8628463122 Reassigns benefits to 1 organization
I20231205002750 VA Practitioner - Nurse Practitioner 8628463122 Reassigns benefits to 2 organizations
I20250128003471 MD Practitioner - Nurse Practitioner 8628463122 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Columbia Associates in Psychiatry PC Psychiatric/Mental Health CurrentSince Jan 5, 2022 Accepting new patients

Locations

10400 Little Patuxent Pkwy
Columbia, MD 21044
Phone (321) 422-7157

24560 Southpoint Dr
Ste 260
Aldie, VA 20105
Phone (571) 248-7472

2501 N Glebe Rd
Ste 303
Arlington, VA 22207
Phone (703) 485-9519

2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1013682681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5523 NEDDLETON AVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934113",
            "telephone_number": "571-202-9021",
            "fax_number": "844-526-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5523 NEDDLETON AVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934113",
            "telephone_number": "703-989-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSERA",
        "first_name": "ELIA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-14",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024182445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.