Individual provider Active NPI

Macy Reed Bosshard, PA-C

  • Physician Assistant
  • Reston, VA
National Provider Identifier
1215410873
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110-006373 Issued in VA
Practice address
1860 Town Center Dr Ste 300
Reston, VA 20190-5900
Phone
(703) 435-6604
NPI assigned
Sep 10, 2018
Last updated
Sep 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110-006373 VA Primary

Addresses

Primary practice location

1860 Town Center Dr Ste 300
Reston, VA 20190-5900

Mailing address

126 N Fairwood Ave
Sinking Spring, PA 19608-9802

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
I20181017000708 DC Practitioner - Physician Assistant 1658623848 Reassigns benefits to 1 organization
I20220125000867 VA Practitioner - Physician Assistant 1658623848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1860 Town Ctr Dr
Suite 300
Reston, VA 20190-5900
Phone (703) 435-6604

6201 Centreville Rd
Suite 600
Centreville, VA 20121-2634
Phone (703) 435-6604

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110-006373VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Town Center Orthopaedic Associates PC CurrentSince Sep 10, 2018 Accepting new patients
Town Center Orthopaedic Associates, P.C. CurrentSince Sep 10, 2018 Accepting new patients

Locations

44095 Pipeline Plz
Ste 370
Ashburn, VA 20147
Phone (571) 623-3500

6201 Centreville Rd
Ste 600
Centreville, VA 20121
Phone (571) 261-6177

11166 Fairfax Blvd
Ste 400
Fairfax, VA 22030
Phone (703) 691-3015

1860 Town Center Dr
Ste 300
Reston, VA 20190
Phone (703) 483-4684

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1215410873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N FAIRWOOD AVE",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196089802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 300",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905900",
            "telephone_number": "703-435-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSHARD",
        "first_name": "MACY",
        "middle_name": "REED",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-006373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.