NPIMap

Individual provider Active NPI

Maria Fe Inderio Hauptmann, N.P.

  • Adult Health Nurse Practitioner
  • Reston, VA
National Provider Identifier
1205014479
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024167470 Issued in VA
Practice address
1830 Town Center Dr Ste 301
Reston, VA 20190-3217
Phone
(703) 742-7757
NPI assigned
Feb 9, 2008
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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 0024167470 VA Primary

Addresses

Primary practice location

1830 Town Center Dr Ste 301
Reston, VA 20190-3217

Mailing address

2151 Veenendaal CT
Herndon, VA 20170-4042
Phone (703) 437-3021

Other practice location 1

2700 Prosperity Ave Ste 270
Fairfax, VA 22031-4321
Phone (703) 698-2431

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080716000099 DC Practitioner - Nurse Practitioner 8628141272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

2700 Prosperity Ave
Suite 270
Fairfax, VA 22031-4321
Phone (703) 698-2431

3300 Gallows Rd
Falls Church, VA 22042-3307

9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024167470VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jan 5, 2023 Accepting new patients
Inova Health Care Services CurrentSince Jan 5, 2023 Accepting new patients
Urology Center-USA Inc PastSince Aug 12, 2024 Accepting new patients
Northern Virginia Urology, PLLC Past Accepting new patients
Capital Palliative Care Consultants, LLC Past Accepting new patients

Locations

2700 Prosperity Ave
Ste 270
Fairfax, VA 22031
Phone (703) 698-2431

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mhauptmann@capitalcaring.ssdirect.aprima.com
  • Direct secure messaging: mhauptmann774754@soc.inova.org

Organizations & group practices 5

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 5

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": "1202515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1205014479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 VEENENDAAL CT",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704042",
            "telephone_number": "703-437-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR STE 301",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903217",
            "telephone_number": "703-742-7757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Prosperity Ave Ste 270",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314321",
            "country_code": "US",
            "telephone_number": "703-698-2431",
            "fax_number": "571-665-6878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUPTMANN",
        "first_name": "MARIA FE",
        "middle_name": "INDERIO",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-09",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024167470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.