Individual provider Active NPI

Abigail Crisman Ho, FNP-C

  • Family Nurse Practitioner
  • Centreville, VA
National Provider Identifier
1124304936
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169695 Issued in VA
Practice address
5645 Stone Rd
Centreville, VA 20120-1618
Phone
(703) 266-2442
Fax
(703) 266-7158
NPI assigned
Oct 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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 0024169695 VA Primary

Addresses

Primary practice location

5645 Stone Rd
Centreville, VA 20120-1618

Mailing address

5645 Stone Rd
Centreville, VA 20120-1618
Phone (703) 266-2442

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
I20130509000204 DC Practitioner - Nurse Practitioner 3476728676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Run Family Medicine IncGroup PAC ID 5193624773, 7 clinicians

Practice addresses (Care Compare)

5645 Stone Rd
Centreville, VA 20120-1618
Phone (703) 266-2442

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Run Family Medicine Inc CurrentSince Jan 1, 2015 Accepting new patients

Locations

5645 Stone Rd
Centreville, VA 20120
Phone (703) 266-2442

Organizations & group practices 1

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": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1124304936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 STONE RD",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201618",
            "telephone_number": "703-266-2442",
            "fax_number": "703-266-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 STONE RD",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201618",
            "telephone_number": "703-266-2442",
            "fax_number": "703-266-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "ABIGAIL",
        "middle_name": "CRISMAN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

Verify at the official NPI Registry.