Individual provider Active NPI

Anna M Decoite, AG-PCNP-C

  • Adult Health Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1154098713
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024182225 Issued in VA
Practice address
9450 Innovation Dr
Manassas, VA 20110-2214
Phone
(571) 350-8400
Fax
(571) 222-2202
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024182225 VA Primary

Addresses

Primary practice location

9450 Innovation Dr
Manassas, VA 20110-2214

Mailing address

3040 Williams Dr Ste 100
Fairfax, VA 22031-4618
Phone (571) 350-8400

Other practice location 1

210 W Shirley Ave Ste 192
Warrenton, VA 20186-3009
Phone (540) 316-9900

Other identifiers 3

IdentifierTypeStateIssuer
0024182225OtherVANP LICENSE
1154098713MedicaidVA
VAE116AOtherVAMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anna.decoite@vcs.ikm.directci.com Direct

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
I20211118001611 VA Practitioner - Nurse Practitioner 8325437007 Reassigns benefits to 1 organization
I20250114001410 DC Practitioner - Nurse Practitioner 8325437007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Colorado School of Medicine, Denver, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Cancer Specialists, P.C.Group PAC ID 2264412485, 80 clinicians

Practice addresses (Care Compare)

210 W Shirley Ave
Suite 111
Warrenton, VA 20186-3009
Phone (571) 350-8400

8613 Route 29
200N
Fairfax, VA 22031-2171
Phone (703) 280-5390

Hospital & facility affiliations

  • Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045
  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cancer Specialists, P.C. CurrentSince Sep 14, 2021 Accepting new patients
Virginia Cancer Specialists, P.C. CurrentSince Sep 14, 2021 Accepting new patients

Locations

277 S Washington St
Ste 100
Alexandria, VA 22314
Phone (571) 366-5792

4660 Kenmore Ave
Ste 1018
Alexandria, VA 22304
Phone (571) 483-1800

1100 N Glebe Rd
Ste 1600
Arlington, VA 22201

3700 Joseph Siewick Dr
Ste 408
Fairfax, VA 22033
Phone (703) 391-4212

8613 Route 29
Ste 100N
Fairfax, VA 22031
Phone (703) 934-4450

8613 Route 29
#200N
Fairfax, VA 22031

3040 Williams Dr
Ste 100
Fairfax, VA 22031

8613 Route 29
Ste 200N
Fairfax, VA 22031
Phone (703) 208-3120

8613 Route 29
Ste 101
Fairfax, VA 22031
Phone (703) 783-4510

7901 Lake Manassas Dr
Gainesville, VA 20155
Phone (571) 222-2200

44035 Riverside Pkwy
Ste 300
Leesburg, VA 20176
Phone (703) 208-3155

44035 Riverside Pkwy
Ste 310
Leesburg, VA 20176

9450 Innovation Dr
Manassas, VA 20110
Phone (571) 222-2200

1860 Town Center Dr
Ste 460
Reston, VA 20190
Phone (703) 437-6535

210 W Shirley Ave
#111
Warrenton, VA 20186
Phone (703) 208-9331

210 W Shirley Ave
Ste 192
Warrenton, VA 20186
Phone (540) 316-4360

2280 Opitz Blvd
Ste 130
Woodbridge, VA 22191
Phone (713) 508-4005

2280 Opitz Blvd
#130
Woodbridge, VA 22191
Phone (703) 897-5358

Interoperability endpoints

  • Direct secure messaging: anna.decoite@vcs.ikm.direct-ci.com

Organizations & group practices 2

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 2

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1154098713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 WILLIAMS DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314618",
            "telephone_number": "571-350-8400",
            "fax_number": "571-222-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 INNOVATION DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102214",
            "telephone_number": "571-350-8400",
            "fax_number": "571-222-2202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 W Shirley Ave Ste 192",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "VA",
            "postal_code": "201863009",
            "country_code": "US",
            "telephone_number": "540-316-9900",
            "fax_number": "540-316-9921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECOITE",
        "first_name": "ANNA",
        "middle_name": "M",
        "credential": "AG-PCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024182225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "0024182225",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154098713",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "VAE116A",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anna.decoite@vcs.ikm.directci.com",
            "affiliation": "N",
            "endpointDescription": "direct messaging for provider",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Electronic Health Record",
            "address_1": "7901 Lake Manassas Dr",
            "city": "Gainesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201553257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.