Active NPI
Jennifer Lynn Breseman, FNP-BC
- Family Nurse Practitioner
- MC Lean, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024181430
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30016291810001 | Medicaid | VA | |
| 1205461498 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- Quality
- 85.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001150606 | VA | MD | General Practice Registered Nurse |
| 0024181430 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Current | 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
- 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.
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- NPI 1679591440
-
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- Reston, VA
- NPI 1407908817
DC
-
- Vascular Surgery Physician
- Reston, VA
- NPI 1588376321
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.