Individual provider Active NPI

Rachel Palenski, FNP-C

  • Family Nurse Practitioner
  • Vienna, VA
National Provider Identifier
1073962692
Registry record updated Jun 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173391 Issued in VA
Practice address
8302 Old Courthouse Rd Ste C
Vienna, VA 22182-3873
Phone
(703) 462-8138
NPI assigned
Jun 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024173391 VA Primary

Addresses

Primary practice location

8302 Old Courthouse Rd Ste C
Vienna, VA 22182-3873

Mailing address

7707 Bridle Path LN
MC Lean, VA 22102-2505

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190522001782 DC Practitioner - Nurse Practitioner 2668715228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fair Oaks Hospitalist Physicians, PLLCGroup PAC ID 1052419868, 63 clinicians

Practice addresses (Care Compare)

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3558

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.99 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024173391VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fair Oaks Hospitalist Physicians, PLLC CurrentSince Feb 1, 2019 Accepting new patients
Inova Health Care Services Current Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Fairfax Internal Medicine Associates, PC PastSince Nov 27, 2011 Accepting new patients

Locations

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1464998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464998400000",
    "number": "1073962692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 BRIDLE PATH LN",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221022505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8302 OLD COURTHOUSE RD STE C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823873",
            "telephone_number": "703-462-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALENSKI",
        "first_name": "RACHEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-04",
        "last_updated": "2016-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.