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Individual provider Active NPI

Rosemarie McCahill Kormanec, AGNPPC-BC

  • Gerontology Nurse Practitioner
  • Vienna, VA
National Provider Identifier
1154850253
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024174928 Issued in VA
Practice address
10214 Brittenford Dr
Vienna, VA 22182-1865
Phone
(703) 851-6771
Fax
(703) 665-4154
NPI assigned
Jun 12, 2017
Last updated
Nov 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0024174928 VA Primary

Addresses

Primary practice location

10214 Brittenford Dr
Vienna, VA 22182-1865

Mailing address

10214 Brittenford Dr
Vienna, VA 22182-1865
Phone (703) 851-6771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210830001898 DC Practitioner - Nurse Practitioner 8022413004 Reassigns benefits to 2 organizations
I20210901000011 VA Practitioner - Nurse Practitioner 8022413004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10214 Brittenford Dr
Vienna, VA 22182-1865
Phone (703) 851-6771

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Residential Medical Kare, LLC Gerontology CurrentSince Oct 7, 2024 Accepting new patients
Forbes Wellness LLC Adult Health CurrentSince Jul 25, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3940 Prince William Pkwy
Woodbridge, VA 22192
Phone (703) 670-9568

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1154850253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10214 BRITTENFORD DR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221821865",
            "telephone_number": "703-851-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10214 BRITTENFORD DR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221821865",
            "telephone_number": "703-851-6771",
            "fax_number": "703-665-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORMANEC",
        "first_name": "ROSEMARIE",
        "middle_name": "MCCAHILL",
        "credential": "AGNPPC-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024174928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.