Active NPI
Charlyn Tupaz, CRNP
- Primary Care Nurse Practitioner
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- R210411
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| R210411 | MD | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Express Healthcare, LLC | Current | Accepting new patients | |
| J Richard Lilly MD Shaaron R Towns MD and Associates PC | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group, LLC | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group LLC | Current | Accepting new patients | |
| Med-Ped Health Care LLC | Current | 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
- charlyn.tupaz.1@19581.direct.athenahealth.com
- 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.
-
- Maternal & Fetal Medicine Physician
- Arlington, VA
- NPI 1144415480
DC
-
- Neurology Physician
- Arlington, VA
- NPI 1245010479
-
- General Practice Physician
- Hyattsville, MD
- NPI 1336135821
-
- Urgent Care Clinic/Center
- College Park, MD
- NPI 1447605712
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.