Individual provider Active NPI

Charlyn Tupaz, CRNP

  • Primary Care Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1114504362
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R210411 Issued in MD
Practice address
701 N George Mason Dr
Arlington, VA 22203-1438
Phone
(703) 558-5000
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R210411 MD
Gerontology Nurse Practitioner 363LG0600X R210411 MD
Primary Care Nurse Practitioner 363LP2300X R210411 MD Primary

Addresses

Primary practice location

701 N George Mason Dr
Arlington, VA 22203-1438

Mailing address

5711 Sarvis Ave Ste 302
Riverdale, MD 20737-1394
Phone (301) 927-7800

Other practice location 1

4701 Melbourne Pl
College Park, MD 20740-2540
Phone (301) 450-5631

Other practice location 2

5711 Sarvis Ave
Riverdale, MD 20737-1394
Phone (301) 927-7800

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
I20210610000014 DC Practitioner - Nurse Practitioner 9537569769 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Hospital Center Physician Group LLCGroup PAC ID 8426231119, 350 clinicians
Virginia Urgent Andprimary Care LLCGroup PAC ID 7618270976, 5 clinicians

Practice addresses (Care Compare)

3440 S Jefferson St
VHC Phys GRP Geriatric Medicine
Falls Church, VA 22041-3145
Phone (703) 717-7100

5501 Backlick Rd
Suite 105
Springfield, VA 22151-3940
Phone (703) 564-5998

Merit-based Incentive Payment System (MIPS)

Final score
80.33 of 100Reported as group
Quality
74.39
Promoting interoperability
87
Improvement activities
40
Cost
70.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R210411MDMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Express Healthcare, LLC CurrentSince May 19, 2021 Accepting new patients
J Richard Lilly MD Shaaron R Towns MD and Associates PC CurrentSince Feb 13, 2026 Accepting new patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Jun 10, 2024 Accepting new patients
Med-Ped Health Care LLC CurrentSince May 19, 2021 Accepting new patients
Express Healthcare, LLC Past Accepting new patients

Locations

6201 Greenbelt Rd
Ste M16
Berwyn Heights, MD 20740
Phone (301) 441-4400

6201 Greenbelt Rd
Ste M15
Berwyn Heights, MD 20740
Phone (301) 441-1112

4701 Melbourne Pl
College Park, MD 20740
Phone (301) 345-4400

5711 Sarvis Ave
Riverdale, MD 20737
Phone (301) 277-3331

5711 Sarvis Ave
Ste 302
Riverdale, MD 20737
Phone (301) 927-7800

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108

6305 Castle Pl
Ste 2D
Falls Church, VA 22044
Phone (703) 344-8355

Interoperability endpoints

  • Direct secure messaging: charlyn.tupaz.1@19581.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19581/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1114504362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 SARVIS AVE STE 302",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371394",
            "telephone_number": "301-927-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N GEORGE MASON DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031438",
            "telephone_number": "703-558-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Melbourne Pl",
            "address_purpose": "LOCATION",
            "city": "College Park",
            "state": "MD",
            "postal_code": "207402540",
            "country_code": "US",
            "telephone_number": "301-450-5631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5711 Sarvis Ave",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "MD",
            "postal_code": "207371394",
            "country_code": "US",
            "telephone_number": "301-927-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUPAZ",
        "first_name": "CHARLYN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R210411",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R210411",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R210411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.