NPIMap

Individual provider Active NPI

Mary Beth Fisher

  • Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1134144306
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0001107040 Issued in VA
Practice address
8221 Willow Oaks Corporate Dr # 4425
Fairfax, VA 22031-4512
Phone
(703) 289-7599
NPI assigned
Jul 12, 2006
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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 0001107040 VA Primary

Addresses

Primary practice location

8221 Willow Oaks Corporate Dr # 4425
Fairfax, VA 22031-4512

Mailing address

451 James Madison Hwy
Suite 104
Culpeper, VA 22701-2360
Phone (540) 727-8880

Other practice location 1

451 James Madison Hwy
Suite 104
Culpeper, VA 22701-2360
Phone (540) 727-8880

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlaveryfisher117614@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001107040VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
V.R Veerapalli M.D PC., Past Accepting new patients
Ashburn Walk-in Clinic & Primary Care Past Accepting new patients
Culpeper Medical Associates, LLC Past Accepting new patients
Chrysalis Counseling Center Past Accepting new patients
Chrysalis Counseling Centers Past Accepting new patients
Atara Health Solutions LTD Past Accepting new patients
Womens & Childrens Center LLC Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1134144306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 JAMES MADISON HWY",
            "address_2": "SUITE 104",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227012360",
            "telephone_number": "540-727-8880",
            "fax_number": "540-727-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 WILLOW OAKS CORPORATE DR # 4425",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314512",
            "telephone_number": "703-289-7599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 James Madison Hwy",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227012360",
            "country_code": "US",
            "telephone_number": "540-727-8880",
            "fax_number": "540-727-8882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MARY",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0001107040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlaveryfisher117614@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8221 Willow Oaks Corporate Dr # 4425",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220314512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.