Active NPI
Jill Forbes, C.N.P.
- Adult Health Nurse Practitioner
- Fairfax Station, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0024166639
- Practice address
- 9107 Oak Chase CT
Fairfax Station, VA 22039-3333 - Phone
- (703) 690-8482
- Fax
- (701) 248-9320
- NPI assigned
- Apr 6, 2006
- Last updated
- Dec 4, 2019
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0024166639 | VA | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 0024166639 | VA |
Addresses
Primary practice location
9107 Oak Chase CT
Fairfax Station, VA 22039-3333
Mailing address
PO Box 828
Occoquan, VA 22125-0828
Phone (703) 690-8482
Other practice location 1
8988 Lorton Station Blvd
100
Lorton, VA 22079-4756
Phone (703) 780-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- 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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3940 Prince William Pkwy
Woodbridge, VA 22192-4513
Phone (703) 690-8482
9107 Oak Chase CT
Fairfax Station, VA 22039-3333
Phone (703) 690-8482
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forbes Wellness LLC | Adult Health | Current | Accepting new patients |
| Virginia Internal Medicine Inc | Current | Accepting new patients |
Locations
9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255
10640 Page Ave
Ste 220
Fairfax, VA 22030
Phone (703) 310-7665
3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108
3440 S Jefferson St
#12202
Falls Church, VA 22041
Phone (703) 820-1488
3940 Prince William Pkwy
Woodbridge, VA 22192
Phone (703) 670-9568
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.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Goodwin House Palliative Care and Hospice
- Community Based Hospice Care Agency
- Falls Church, VA
- NPI 1588740617
-
dba Sentara Northern Virginia Medical Center
- General Acute Care Hospital
- Woodbridge, VA
- NPI 1548366404
-
- Home Health Agency
- Dumfries, VA
- NPI 1831414192
-
dba Arleigh Burke Pavilion
- Nursing Facility/Intermediate Care Facility
- McLean, VA
- NPI 1992093553
Nursing home
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1235192865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 828",
"city": "OCCOQUAN",
"state": "VA",
"postal_code": "221250828",
"telephone_number": "703-690-8482",
"fax_number": "701-248-9320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9107 OAK CHASE CT",
"city": "FAIRFAX STATION",
"state": "VA",
"postal_code": "220393333",
"telephone_number": "703-690-8482",
"fax_number": "701-248-9320"
}
],
"practiceLocations": [
{
"address_1": "8988 Lorton Station Blvd",
"address_2": "100",
"address_purpose": "LOCATION",
"city": "Lorton",
"state": "VA",
"postal_code": "220794756",
"country_code": "US",
"telephone_number": "703-780-2800",
"fax_number": "703-780-0461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORBES",
"first_name": "JILL",
"credential": "C.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "0024166639",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "VA",
"license": "0024166639",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax Station, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.