NPIMap

Individual provider Active NPI

Jocelyn Patricia Tan Serrano, M.D.

  • Family Medicine Physician
  • Gainesville, VA
National Provider Identifier
1285856013
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101240326 Issued in VA
Practice address
13575 Heathcote Blvd Ste 210
Gainesville, VA 20155-6698
Phone
(571) 248-4620
Fax
(571) 248-4374
NPI assigned
May 2, 2007
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101240326 VA Primary

Addresses

Primary practice location

13575 Heathcote Blvd Ste 210
Gainesville, VA 20155-6698

Mailing address

13575 Heathcote Blvd Ste 210
Gainesville, VA 20155-6698
Phone (571) 248-4620

Other names 1

  • Jocelyn Patricia De Gracia Tan Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jserrano3908@soc.inova.org Health Information Exchange (HIE) Inova Physician Partners, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070913000717 VA Practitioner - Family Practice 2466546031 Reassigns benefits to 1 organization
I20160912001305 DC Practitioner - Family Practice 2466546031 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Physician Partners LLCGroup PAC ID 2466581772, 258 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

13575 Heathcote Blvd
Suite 210
Gainesville, VA 20155-6698
Phone (571) 248-4620

2600 Compass Rd
Glenview, IL 60026-8001

6230 Rolling Rd
Suite Ij
Springfield, VA 22152-2307
Phone (571) 565-6460

740 E Main St
Purcellville, VA 20132-3128
Phone (540) 338-7116

9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as apm
Quality
87.97
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC Family Medicine CurrentSince Jan 28, 2011 Accepting new patients
Inova Health Care Services CurrentSince Jul 16, 2016 Accepting new patients
Inova Health Care Services CurrentSince Jul 16, 2016 Accepting new patients
Inova Health Care Services CurrentSince Jul 16, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

13575 Heathcote Blvd
Ste 210
Gainesville, VA 20155
Phone (571) 248-4620

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Interoperability endpoints

  • Direct secure messaging: jserrano3908@soc.inova.org

Organizations & group practices 7

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1285856013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 HEATHCOTE BLVD STE 210",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201556698",
            "telephone_number": "571-248-4620",
            "fax_number": "571-248-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 HEATHCOTE BLVD STE 210",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201556698",
            "telephone_number": "571-248-4620",
            "fax_number": "571-248-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "JOCELYN PATRICIA",
        "middle_name": "TAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101240326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jserrano3908@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Physician Partners, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "13575 Heathcote Blvd Ste 210",
            "city": "Gainesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201556698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOCELYN PATRICIA",
            "last_name": "TAN",
            "middle_name": "DE GRACIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.