Mary Joseph Frickel, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024121397 Issued in VA

Practice address

1800 Town Center Drive, Suite 220
Reston, VA 20190-3238

Phone

(703) 435-2555

Fax

(571) 926-8910

NPI assigned

Dec 3, 2008

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.frickel@lmg1.eclinicaldirectplus.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.

• Loudoun Medical Group, PC

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Reston, VA
  • NPI 1407908817

  DC

  Medicare reassignment NPD
• Loudoun Medical Group, PC

  • Internal Medicine Physician
  • Leesburg, VA
  • NPI 1679591440
  NPD
• Virginia Womens Health Associates

  • Specialist
  • Vienna, VA
  • NPI 1649395302
  NPD (past)

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1053556175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224-D CORNWALL ST., NW SUITE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6010",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DRIVE, SUITE 220",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903238",
            "telephone_number": "703-435-2555",
            "fax_number": "571-926-8910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 Old Courthouse Rd",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221823822",
            "country_code": "US",
            "telephone_number": "703-448-0885",
            "fax_number": "703-448-0439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRICKEL",
        "first_name": "MARY",
        "middle_name": "JOSEPH",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024121397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053556175",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30015909410002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce M Freedman, MD
• Jessica Freedman, PA-C, ATC
• Sarah Freeman, LPC
• Sharon Elizabeth Freeman, NP
• Ruth A Freud, LCSW, PSY.D.
• Jenna Renee Fried, LPC
• Craig Friedmann
• Jennifer Anne Friend, LCSW
• Frier Behavior Consulting
• Jacob Frier, M.ED., BCBA, LBA

• Family Nurse Practitioner in Reston, VA
• Providers in Reston, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.