Individual provider Active NPI

Jennifer Lynn Breseman, FNP-BC

  • Family Nurse Practitioner
  • MC Lean, VA
National Provider Identifier
1205461498
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024181430 Issued in VA
Practice address
1313 Dolley Madison Boulevard, Suite 104
MC Lean, VA 22101-3926
Phone
(703) 263-8282
NPI assigned
Mar 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 0024181430 VA Primary
General Practice Registered Nurse 163WG0000X 0001150606 VA

Addresses

Primary practice location

1313 Dolley Madison Boulevard, Suite 104
MC Lean, VA 22101-3926

Mailing address

224D Cornwall St NW Ste 403
Leesburg, VA 20176-2704
Phone (703) 737-6010

Other identifiers 2

IdentifierTypeStateIssuer
30016291810001MedicaidVA
1205461498MedicaidVA

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
I20210708001762 VA Practitioner - Nurse Practitioner 5991107252 Reassigns benefits to 1 organization
I20251202001582 DC Practitioner - Nurse Practitioner 5991107252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians

Practice addresses (Care Compare)

1313 Dolley Madison Blvd
Suite 104
MC Lean, VA 22101-3926
Phone (703) 783-5673

44084 Riverside Pkwy
Suite 300
Leesburg, VA 20176-5102
Phone (703) 724-7530

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001150606VAMDGeneral Practice Registered Nurse
0024181430VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Medical Group, PC Current Accepting new patients
Loudoun Medical Group, PC CurrentSince Jul 12, 2021 Accepting new patients
Loudoun Medical Group, PC CurrentSince Jul 12, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

21035 Sycolin Rd
Ste 180
Ashburn, VA 20147
Phone (703) 783-5673

43300 Southern Walk Plz
Ste 100
Broadlands, VA 20148
Phone (571) 252-7353

24430 Stone Springs Blvd
Ste 135
Dulles, VA 20166
Phone (703) 404-5900

3700 Joseph Siewick Dr
Ste 106
Fairfax, VA 22033
Phone (571) 724-4400

7564 Gardner Park Dr
Gainesville, VA 20155
Phone (571) 561-3400

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

44084 Riverside Pkwy
Ste 300
Leesburg, VA 20176
Phone (703) 724-7530

44055 Riverside Pkwy
Ste 208
Leesburg, VA 20176
Phone (703) 729-7652

224D Cornwall St NW
Ste 106
Leesburg, VA 20176
Phone (703) 777-1411

20 Town Sq
Unit 180
Lovettsville, VA 20180
Phone (540) 579-0500

1313 Dolley Madison Blvd
Ste 104
McLean, VA 22101
Phone (703) 263-8282

1313 Dolley Madison Blvd
Ste 105
McLean, VA 22101
Phone (703) 525-2200

205 Hirst Rd
Ste 303
Purcellville, VA 20132
Phone (540) 338-9896

Interoperability endpoints

  • Direct secure messaging: jennifer.breseman@lmg1.eclinicaldirectplus.com

Organizations & group practices 4

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": "1583625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1205461498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224D CORNWALL ST NW STE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6010",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 DOLLEY MADISON BOULEVARD, SUITE 104",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013926",
            "telephone_number": "703-263-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESEMAN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-08",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024181430",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "VA",
            "license": "0001150606",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016291810001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205461498",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.