NPIMap

Individual provider Active NPI

Johanna Lynn Gaskins, DNP, APRN, AGNP-C

  • Nurse Practitioner
  • Bristow, VA
National Provider Identifier
1124595103
Registry record updated Jul 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024176770 Issued in VA
Practice address
10040 Pentland Hills Way
Bristow, VA 20136-2665
Phone
(202) 497-8348
Fax
(703) 995-0930
NPI assigned
Oct 29, 2018
Last updated
Jul 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024176770 VA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190729002707 VA Practitioner - Nurse Practitioner 2466797147 Reassigns benefits to 3 organizations
I20200331000023 DC Practitioner - Nurse Practitioner 2466797147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 5395071351, 5 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
18.36 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
61.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024176770VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
My Best Me Care Partners LLC Current Accepting new patients
Brightstone, LLC Nurse Practitioner CurrentSince Sep 8, 2017 Accepting new patients
Pro Healthcare Servicing, LLC Past Accepting new patients
Pro Healthcare Servicing, LLC PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1124595103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 PENTLAND HILLS WAY",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362665",
            "telephone_number": "202-497-8348",
            "fax_number": "703-952-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 PENTLAND HILLS WAY",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362665",
            "telephone_number": "202-497-8348",
            "fax_number": "703-995-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKINS",
        "first_name": "JOHANNA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024176770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristow, VA

Sources for this page

Verify at the official NPI Registry.