Individual provider Active NPI

Geetanjali Jain, MSN, DNP, FNP-BC

  • Family Nurse Practitioner
  • Reston, VA
National Provider Identifier
1124653589
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179589 Issued in VA
Practice address
11800 Sunrise Valley Dr Ste 700
Reston, VA 20191-5315
Phone
(703) 834-1473
Fax
(703) 318-7463
NPI assigned
Mar 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0024179589 VA
Family Nurse Practitioner 363LF0000X 0024179589 VA Primary

Addresses

Primary practice location

11800 Sunrise Valley Dr Ste 700
Reston, VA 20191-5315

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

44160 Scholar Plz Ste 450
Leesburg, VA 20176-3463
Phone (703) 450-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210825001733 VA Practitioner - Nurse Practitioner 1052716362 Reassigns benefits to 1 organization
I20221103003319 DC Practitioner - Nurse Practitioner 1052716362 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024179589VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC CurrentSince Aug 8, 2022 Accepting new patients
Tgvpc CurrentSince Jul 21, 2021 Accepting new patients
Fairfax Family Practice Centers PC Family CurrentSince Jul 1, 2025 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients
Alternative Wellness Clinic PastSince Jul 21, 2021 Accepting new patients

Locations

6201 Centreville Rd
Ste 100
Centreville, VA 20121
Phone (703) 263-9600

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

11800 Sunrise Valley Dr
Ste 700
Reston, VA 20191
Phone (703) 834-1473

2 Pidgeon Hill Dr
Ste 280
Sterling, VA 20165
Phone (703) 404-1807

Interoperability endpoints

  • Direct secure messaging: gjain1096713@soc.inova.org

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairfax Family Practice Centers PC 106 clinicians

Practice addresses (Care Compare)

11800 Sunrise Valley Dr
Suite 700
Reston, VA 20191-5315
Phone (703) 834-1473

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as apm
Quality
87.97
Promoting interoperability
100
Improvement activities
40

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1124653589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 SUNRISE VALLEY DR STE 700",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915315",
            "telephone_number": "703-834-1473",
            "fax_number": "703-318-7463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44160 Scholar Plz Ste 450",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201763463",
            "country_code": "US",
            "telephone_number": "703-450-8660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "GEETANJALI",
        "credential": "MSN, DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0024179589",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.