Individual provider Active NPI

Agnes Youngshim Jo, FNP-C

  • Family Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1275018418
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024180309 Issued in VA
Practice address
2800 S Shirlington Rd Ste 500
Arlington, VA 22206-3618
Phone
(703) 717-4245
Fax
(703) 717-4248
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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 0024180309 VA Primary

Addresses

Primary practice location

2800 S Shirlington Rd Ste 500
Arlington, VA 22206-3618

Mailing address

2800 S Shirlington Rd Ste 500
Arlington, VA 22206-3618
Phone (703) 717-4245

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ajo83889@direct.virginiahospitalcenter.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210112000252 DC Practitioner - Nurse Practitioner 4789921651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2800 S Shirlington Rd
Suite 500
Arlington, VA 22206-3618
Phone (703) 717-4245

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.33 of 100Reported as group
Quality
74.39
Promoting interoperability
87
Improvement activities
40
Cost
70.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024180309VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Feb 1, 2021 Accepting new patients
Virginia Hospital Center Physician Group, LLC CurrentSince Feb 1, 2021 Accepting new patients
Ny Family Medical Docs PC Past Accepting new patients

Locations

2800 S Shirlington Rd
Ste 600
Arlington, VA 22206
Phone (703) 558-8133

2800 S Shirlington Rd
Ste 500
Arlington, VA 22206
Phone (703) 717-4245

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

1625 N George Mason Dr
Ste 475
Arlington, VA 22205
Phone (703) 717-4000

Interoperability endpoints

  • Direct secure messaging: ajo83889@direct.virginiahospitalcenter.net

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 and National Provider Directory roles.

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": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1275018418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S SHIRLINGTON RD STE 500",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063618",
            "telephone_number": "703-717-4245",
            "fax_number": "703-717-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SHIRLINGTON RD STE 500",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063618",
            "telephone_number": "703-717-4245",
            "fax_number": "703-717-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JO",
        "first_name": "AGNES",
        "middle_name": "YOUNGSHIM",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajo83889@direct.virginiahospitalcenter.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LOINC 34133-9",
            "address_1": "2800 S Shirlington Rd Ste 500",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222063618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.