Individual provider Active NPI

Hannan Moallin, PA-C

  • Medical Physician Assistant
  • Springfield, VA
National Provider Identifier
1134087364
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110011446 Issued in VA
Practice address
5510 Alma LN
Springfield, VA 22151-4027
Phone
(703) 642-5990
NPI assigned
Jan 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110011446 VA Primary

Addresses

Primary practice location

5510 Alma LN
Springfield, VA 22151-4027

Mailing address

5510 Alma LN
Springfield, VA 22151-4027
Phone (703) 642-5990

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
I20260305000068 DC Practitioner - Physician Assistant 5092297416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Medical Alliance, P.C.Group PAC ID 0648262261, 14 clinicians

Practice addresses (Care Compare)

5510 Alma LN
Springfield, VA 22151-4027
Phone (703) 642-5990

Hospital & facility affiliations

  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0110011446VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Medical Alliance PC CurrentSince Jan 25, 2026 Accepting new patients

Locations

5510 Alma Ln
Springfield, VA 22151
Phone (703) 642-5990

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.

Hospital & facility affiliations 1

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": "1768435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1134087364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 ALMA LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514027",
            "telephone_number": "703-642-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 ALMA LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514027",
            "telephone_number": "703-642-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOALLIN",
        "first_name": "HANNAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110011446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.