Active NPI
Jerimie Batac
- Nurse Practitioner
- Tysons, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024172098
- Practice address
- 1775 Tysons Blvd Ste 300
Tysons, VA 22102-4285 - Phone
- (202) 660-0050
- Fax
- (415) 252-7176
- NPI assigned
- Oct 2, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024172098 | VA | Primary |
Addresses
Primary practice location
1775 Tysons Blvd Ste 300
Tysons, VA 22102-4285
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791
Other practice location 1
1850A Town Center Pkwy
Suite 410
Reston, VA 20190-5851
Phone (703) 478-5350
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180110000211 | DC | Practitioner - Nurse Practitioner | 1355600735 | Reassigns benefits to 2 organizations |
| I20180124000131 | VA | Practitioner - Nurse Practitioner | 1355600735 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- One Medstar Primary Care LLC
Practice addresses (Care Compare)
1001 G St NW
Suite 200E
Washington, DC 20001-4546
Phone (202) 660-0005
11930 Democracy Dr
Reston, VA 20190-5624
Phone (888) 663-6331
1775 Tysons Blvd
Suite 300
Tysons, VA 22102-4285
Phone (202) 627-1904
2987 District Ave
Suite 120
Fairfax, VA 22031-1571
Phone (202) 627-1904
601 New Jersey Ave NW
Suite 200
Washington, DC 20001-3030
Phone (202) 660-0005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024172098 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Benchmark Health Systems, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
Organizations & group practices 5
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.
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Specialist
- Reston, VA
- NPI 1184012957
-
- 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": "1412208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1265835342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723",
"telephone_number": "415-658-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 TYSONS BLVD STE 300",
"city": "TYSONS",
"state": "VA",
"postal_code": "221024285",
"telephone_number": "202-660-0050",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "1850A Town Center Pkwy",
"address_2": "Suite 410",
"address_purpose": "LOCATION",
"city": "Reston",
"state": "VA",
"postal_code": "201905851",
"country_code": "US",
"telephone_number": "703-478-5350",
"fax_number": "703-435-3739",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BATAC",
"first_name": "JERIMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-02",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024172098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tysons, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.