Individual provider Active NPI

Beth Ann Pippin, FNP-BC

  • Family Nurse Practitioner
  • MC Lean, VA
National Provider Identifier
1154815199
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168114 Issued in VA
Practice address
1452 Chain Bridge Rd
MC Lean, VA 22101-3706
Phone
(540) 336-7830
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024168114 VA Primary
Family Nurse Practitioner 363LF0000X 69146NP WV

Addresses

Primary practice location

1452 Chain Bridge Rd
MC Lean, VA 22101-3706

Mailing address

1452 Chain Bridge Rd
MC Lean, VA 22101-3706
Phone (540) 336-7830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20211220002617 DC Practitioner - Nurse Practitioner 6800287269 Reassigns benefits to 1 organization
I20220103001049 VA Practitioner - Nurse Practitioner 6800287269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

172 Linden Dr
Winchester, VA 22601-2892

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

Hospital & facility affiliations

  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005
  • Valley Health War Memorial Hospital Hospital, Berkeley Springs, WV, CCN 511309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024168114VAMDFamily Nurse Practitioner
69146NPWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Oct 17, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 17, 2022 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Oct 14, 2021 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

8644 Sudley Rd
#220
Manassas, VA 20110

1452 Chain Bridge Rd
McLean, VA 22101
Phone (703) 307-8235

148 Linden Dr
Ste 103
Winchester, VA 22601
Phone (540) 722-0627

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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 3

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1154815199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 CHAIN BRIDGE RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013706",
            "telephone_number": "540-336-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 CHAIN BRIDGE RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013706",
            "telephone_number": "540-336-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPPIN",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168114",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "69146NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.