Individual provider Active NPI

Ava Broomell, FNP BC

  • Family Nurse Practitioner
  • Chantilly, VA
National Provider Identifier
1144938036
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024185753 Issued in VA
Practice address
24795 Pinebrook Rd
Chantilly, VA 20152-4239
Phone
(703) 542-7691
NPI assigned
Nov 9, 2022
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024185753 VA Primary

Addresses

Primary practice location

24795 Pinebrook Rd
Chantilly, VA 20152-4239

Mailing address

24795 Pinebrook Rd
Chantilly, VA 20152-4239
Phone (703) 542-7691

Other names 1

  • Ava Nazemian Former name

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
I20260427002905 DC Practitioner - Nurse Practitioner 3870958523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5900 Fort Dr
Suite 201
Centreville, VA 20121-2445

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024185753VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC CurrentSince Jan 23, 2023 Accepting new patients
Health Systems Incorporated CurrentSince Mar 11, 2026 Accepting new patients
Benpay Health Group LLC CurrentSince Mar 11, 2026 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

5900 Fort Dr
Ste 201
Centreville, VA 20121
Phone (703) 830-8113

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

46000 Center Oak Plz
Ste 190
Sterling, VA 20166
Phone (703) 430-4343

Organizations & group practices 4

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": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1144938036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24795 PINEBROOK RD",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201524239",
            "telephone_number": "703-542-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24795 PINEBROOK RD",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201524239",
            "telephone_number": "703-542-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOMELL",
        "first_name": "AVA",
        "credential": "FNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVA",
            "last_name": "NAZEMIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

Verify at the official NPI Registry.