Individual provider Active NPI

Neil Navales Bautista, FNP

  • Family Nurse Practitioner
  • Falls Church, VA
National Provider Identifier
1275110280
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024181168 Issued in VA
Practice address
2901 Telestar CT Ste 200
Falls Church, VA 22042-1262
Phone
(703) 573-3494
Fax
(703) 573-5353
NPI assigned
Mar 25, 2021
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 0001286879 VA
Primary Care Nurse Practitioner 363LP2300X 0024181168 VA
Family Nurse Practitioner 363LF0000X 0024181168 VA Primary

Addresses

Primary practice location

2901 Telestar CT Ste 200
Falls Church, VA 22042-1262

Mailing address

1221 S Eads St Apt 1408
Arlington, VA 22202-4725
Phone (805) 252-9549

Other practice location 1

1221 S Eads St Apt 1408
Arlington, VA 22202-4725
Phone (805) 252-9549

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nbautista931268@soc.inova.org

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
I20210830002314 DC Practitioner - Nurse Practitioner 0941605935 Reassigns benefits to 1 organization
I20210831000142 VA Practitioner - Nurse Practitioner 0941605935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000

2901 Telestar CT
Suite 200
Falls Church, VA 22042-1262
Phone (703) 573-3494

3300 Gallows Rd
Falls Church, VA 22042-3307

3580 Joseph Siewick Dr
Fairfax, VA 22033-1764

44035 Riverside Pkwy
Suite 400
Leesburg, VA 20176-8260
Phone (703) 858-5421

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001286879VAMDGeneral Practice Registered Nurse
0024181168VAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Aug 9, 2021 Accepting new patients
Inova Health Care Services CurrentSince Aug 9, 2021 Accepting new patients
Inova Health Care Services CurrentSince Aug 9, 2021 Accepting new patients

Locations

2901 Telestar Ct
Ste 200
Falls Church, VA 22042
Phone (703) 573-3494

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44035 Riverside Pkwy
Ste 400
Leesburg, VA 20176
Phone (703) 858-5421

1850 Town Center Pkwy
Ste 550
Reston, VA 20190
Phone (703) 437-5977

Interoperability endpoints

  • Direct secure messaging: nbautista931268@soc.inova.org

Organizations & group practices 3

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 7

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1275110280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S EADS ST APT 1408",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222024725",
            "telephone_number": "805-252-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 TELESTAR CT STE 200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421262",
            "telephone_number": "703-573-3494",
            "fax_number": "703-573-5353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 S Eads St Apt 1408",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222024725",
            "country_code": "US",
            "telephone_number": "805-252-9549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "NEIL",
        "middle_name": "NAVALES",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "VA",
            "license": "0001286879",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024181168",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024181168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbautista931268@soc.inova.org",
            "affiliation": "N",
            "address_1": "2901 Telestar Ct Ste 200",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220421262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.