Johanna Lynn Gaskins, DNP, APRN, AGNP-C
Individual provider Active NPI Nurse Practitioner · Bristow, VA
NPI 1124595103 · NPPES record last updated Jul 15, 2023
Key facts
- NPI
- 1124595103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0024176770 (VA)
- Practice address
- 10040 Pentland Hills Way
Bristow, VA 20136-2665 - Phone
- (202) 497-8348
- Fax
- (703) 995-0930
- NPI assigned
- Oct 29, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Drexel University College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Brightstone LLC
Legacy Healthcare Services Inc
Practice addresses (Care Compare)
10040 Pentland Hills Way
Bristow, VA 20136-2665
9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920
Hospital & facility affiliations
- Bayada Home Health Care Inc
- Prospect Homecare Agency
- Five Star Home Health Care
- Aveanna Home Health
- Sentara Home Care Services
- The Village at Orchard Ridge
Merit-based Incentive Payment System (MIPS)
- Final score
- 18.36 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 61.21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190729002707 | VA | Practitioner - Nurse Practitioner | 2466797147 | Reassigns benefits to 3 organizations |
| I20200331000023 | DC | Practitioner - Nurse Practitioner | 2466797147 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024176770 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightstone, LLC | Nurse Practitioner | Current |
Accepting new patients |
| My Best Me Care Partners LLC | Current | Accepting new patients | |
| Pro Healthcare Servicing, LLC | Past |
Accepting new patients | |
| Pro Healthcare Servicing, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024176770 | VA | Yes |
Addresses
Primary practice location
10040 Pentland Hills Way
Bristow, VA 20136-2665
Mailing address
10040 Pentland Hills Way
Bristow, VA 20136-2665
Phone (202) 497-8348
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386750420 | Medicaid | OH |
Other providers in Bristow, VA
- Anna Coolidge Farrell
- Pamela Fonju
- Dorothy Christine Ford
- Lisa A Gardner
- Victoria Rae Garrison
- GB Anesthesia Services
- Gentle Hands Senior Care
- Gentle Nest Care LLC
- Michael Georgy
- Beletu Keleb Getahun
All providers in Bristow, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.