Neely Richardson Frederick, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024185660 Issued in VA

Practice address

4400 University Dr BLDG 1
Fairfax, VA 22030-4444

Phone

(703) 993-2831

Fax

(703) 993-4365

NPI assigned

Feb 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Neely Richardson Former name

Medicare fee-for-service enrollment

Enrolled in NC, DC2 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

Merit-based Incentive Payment System (MIPS)

Final score

93.98 of 100Reported as apm

Quality

87.97

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Inova Physician Partners, LLC

  • Family Medicine Physician
  • Chantilly, VA
  • NPI 1215264916

  DC

  Medicare reassignment NPD
• Wake Forest Health Network LLC

  • Pediatrics Physician
  • Greensboro, NC
  • NPI 1477785756
  Medicare reassignment NPD
• Wake Forest Health Network LLC

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1770825390
  NPD
• Wake Forest Health Network, LLC

  • Pediatrics Physician
  • Greensboro, NC
  • NPI 1053175299
  NPD
• Inova Physician Partners, Inc. - Specialists

  • Orthopaedic Surgery Physician
  • Leesburg, VA
  • NPI 1811204050
  NPD (past)
• Cornerstone Health Care PA

  • Cardiovascular Disease Physician
  • Statesville, NC
  • NPI 1275914046
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1275924433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 UNIVERSITY DR BLDG 1",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304444",
            "telephone_number": "703-993-2831",
            "fax_number": "703-993-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 UNIVERSITY DR BLDG 1",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304444",
            "telephone_number": "703-993-2831",
            "fax_number": "703-993-4365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 E 16th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198025145",
            "country_code": "US",
            "telephone_number": "302-652-2455",
            "fax_number": "302-322-6251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Penns Way",
            "address_2": "Suite 412",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "DE",
            "postal_code": "19720",
            "country_code": "US",
            "telephone_number": "302-652-2455",
            "fax_number": "302-322-6251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "NEELY",
        "middle_name": "RICHARDSON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000992",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007466",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEELY",
            "last_name": "RICHARDSON",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Paige Frasso, MS, LMFT
• Cara Fratta
• Timothy Fratto, PH.D.
• Patrice Frazier
• Laura Frederick, O.D.
• Loretta Fredericks, LCSW
• Ryan Fredrickson, PSY.D.
• Kevin Ryan Free, PA-C
• Julia Helen Nyhuis Freed, FNP, RN, MSN
• Tingting Zhu Freed, DMD

• Family Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.

Verify at the official NPI Registry.