Individual provider Active NPI

Caitlin Noelle Fortune, PA

  • Medical Physician Assistant
  • Reston, VA
National Provider Identifier
1215437413
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110006092 Issued in VA
Practice address
1860 Town Center Drive
Reston, VA 20190
Phone
(703) 689-2050
Fax
(703) 689-2080
NPI assigned
Feb 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110006092 VA Primary

Addresses

Primary practice location

1860 Town Center Drive
Reston, VA 20190

Mailing address

3301 Woodburn Rd Ste 304
Annandale, VA 22003-1289
Phone (703) 573-0130

Other practice location 1

24570 Gum Spring Rd
Dulles, VA 20166-2246
Phone (703) 698-8960

Other practice location 2

100 Elden St Ste 12
Herndon, VA 20170-4833
Phone (703) 698-8960

Other practice location 3

3028 Javier Rd Ste 300
Fairfax, VA 22031-4622
Phone (703) 698-8960

Other practice location 4

3914 Centreville Rd Ste 350
Chantilly, VA 20151-3289
Phone (703) 698-8960

Other practice location 5

3301 Woodburn Rd Ste 304
Annandale, VA 22003-1289
Phone (703) 573-0130

Other practice location 6

19450 Deerfield Ave Ste 445
Leesburg, VA 20176-6822
Phone (703) 858-7222

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
I20180606000664 DC Practitioner - Physician Assistant 1759646128 Reassigns benefits to 2 organizations
I20220519000937 VA Practitioner - Physician Assistant 1759646128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Arthritis and Rheumatology Associates VA LLCGroup PAC ID 4183978133, 12 clinicians
American Arthritis and Rheumatology Associates DC PCGroup PAC ID 3678810686, 8 clinicians

Practice addresses (Care Compare)

110 Dunlop VLG
Colonial Heights, VA 23834-1764
Phone (804) 526-6062

1860 Town Ctr Dr
Suite 130
Reston, VA 20190-5898
Phone (703) 689-2050

3301 Woodburn Rd
304 Northern Virginia Ctr for Arthritis
Annandale, VA 22003-1289
Phone (703) 689-2050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Old Dominion Anesthesia LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
American Arthritis & Rheumatology Associates LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: caitlin.fortune.p91@direct.aara1.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1215437413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN RD STE 304",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031289",
            "telephone_number": "703-573-0130",
            "fax_number": "307-573-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DRIVE",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20190",
            "telephone_number": "703-689-2050",
            "fax_number": "703-689-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24570 Gum Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Dulles",
            "state": "VA",
            "postal_code": "201662246",
            "country_code": "US",
            "telephone_number": "703-698-8960",
            "fax_number": "703-641-8427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Elden St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201704833",
            "country_code": "US",
            "telephone_number": "703-698-8960",
            "fax_number": "703-641-8427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3028 Javier Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314622",
            "country_code": "US",
            "telephone_number": "703-698-8960",
            "fax_number": "703-641-8427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3914 Centreville Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201513289",
            "country_code": "US",
            "telephone_number": "703-698-8960",
            "fax_number": "703-641-8427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 Woodburn Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220031289",
            "country_code": "US",
            "telephone_number": "703-573-0130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19450 Deerfield Ave Ste 445",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201766822",
            "country_code": "US",
            "telephone_number": "703-858-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "CAITLIN",
        "middle_name": "NOELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110006092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.