Individual provider Active NPI

Jennifer Lynn Gleim, FNP

  • Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1164397279
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024194992 Issued in VA
Practice address
8613 Route 29 Ste 101
Fairfax, VA 22031-2171
Phone
(703) 783-4510
NPI assigned
Oct 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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 0024194992 VA Primary

Addresses

Primary practice location

8613 Route 29 Ste 101
Fairfax, VA 22031-2171

Mailing address

8613 Route 29 Ste 101
Fairfax, VA 22031-2171

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
I20251202001757 DC Practitioner - Nurse Practitioner 1658864384 Reassigns benefits to 1 organization
I20251211002598 VA Practitioner - Nurse Practitioner 1658864384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4660 Kenmore Ave
Suite 1018
Alexandria, VA 22304-1306
Phone (571) 483-1800

9450 Innovation Dr
Manassas, VA 20110-2214
Phone (571) 350-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024194992VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cancer Specialists, P.C. CurrentSince Oct 21, 2025 Accepting new patients
Virginia Cancer Specialists, P.C. CurrentSince Oct 21, 2025 Accepting new patients

Locations

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 101
Fairfax, VA 22031
Phone (703) 783-4510

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

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

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
Ste 192
Warrenton, VA 20186
Phone (540) 316-4360

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

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

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1164397279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8613 ROUTE 29 STE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8613 ROUTE 29 STE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312171",
            "telephone_number": "703-783-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEIM",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024194992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.