Individual provider Active NPI

Elizabeth Drew Idris, DNP, FNP-BC

  • Family Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1255826350
Registry record updated Jun 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176265 Issued in VA
Practice address
8100 Ashton Ave Ste 101
Manassas, VA 20109-5647
Phone
(703) 257-8090
NPI assigned
Jun 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024176265 VA Primary

Addresses

Primary practice location

8100 Ashton Ave Ste 101
Manassas, VA 20109-5647

Mailing address

8100 Ashton Ave Ste 101
Manassas, VA 20109-5647
Phone (703) 257-8090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180821001656 VA Practitioner - Nurse Practitioner 0345599593 Reassigns benefits to 1 organization
I20190920001985 DC Practitioner - Nurse Practitioner 0345599593 Reassigns benefits to 1 organization
I20250417000039 MD Practitioner - Nurse Practitioner 0345599593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ryse Health Maryland Physicians PCGroup PAC ID 6305239310, 7 clinicians

Practice addresses (Care Compare)

1100 H St NW
Suite 1100
Washington, DC 20005-5967
Phone (571) 999-7973

3541 W Braddock Rd
Suite 130
Alexandria, VA 22302-1923
Phone (571) 999-7973

3700 Koppers St
Suite 510
Baltimore, MD 21227-1051
Phone (240) 900-8808

6903 Rockledge Dr
Suite 820
Bethesda, MD 20817-7805
Phone (240) 552-9870

8320 Old Courthouse Rd
Suite 401
Vienna, VA 22182-3848
Phone (571) 999-7973

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jul 18, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 18, 2018 Accepting new patients
Ryse Health Maryland Physicians, PC CurrentSince Sep 23, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1100 H St NW
Ste 1100
Washington, DC 20005
Phone (202) 794-6821

3700 Koppers St
Ste 510
Halethorpe, MD 21227
Phone (240) 392-6840

3033 Wilson Blvd
Ste 410
Arlington, VA 22201
Phone (571) 999-7973

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

8644 Sudley Rd
#220
Manassas, VA 20110

8100 Ashton Ave
Ste 101
Sudley Springs, VA 20109
Phone (703) 205-7330

8320 Old Courthouse Rd
Ste 401
Vienna, VA 22182
Phone (571) 999-7973

Interoperability endpoints

  • Direct secure messaging: elizabeth.idris@309602398961668.direct.elationemr.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1530316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530316800000",
    "number": "1255826350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095647",
            "telephone_number": "703-257-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095647",
            "telephone_number": "703-257-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDRIS",
        "first_name": "ELIZABETH",
        "middle_name": "DREW",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-30",
        "last_updated": "2018-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.