Individual provider Active NPI

Yoojin Kwon, FNP-BC

  • Family Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1316669435
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024185050 Issued in VA
Practice address
8140 Ashton Ave Ste 125
Manassas, VA 20109-5700
Phone
(703) 257-7749
Fax
(855) 254-4529
NPI assigned
Sep 15, 2022
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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 0024185050 VA Primary

Addresses

Primary practice location

8140 Ashton Ave Ste 125
Manassas, VA 20109-5700

Mailing address

8140 Ashton Ave Ste 125
Manassas, VA 20109-5700
Phone (703) 257-7749

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
I20230504002763 DC Practitioner - Nurse Practitioner 7810352341 Reassigns benefits to 1 organization
I20230512002292 VA Practitioner - Nurse Practitioner 7810352341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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
0024185050VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manassas Internal Medicine PC CurrentSince Mar 31, 2026 Accepting new patients
Inova Cares - Community Family CurrentSince Feb 1, 2023 Accepting new patients
Comprehensive Internal Medicine Associates Past Accepting new patients

Locations

2740 Prosperity Ave
Ste 100
Fairfax, VA 22031
Phone (571) 623-3390

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

8569 Sudley Rd
Ste B
Manassas, VA 20110
Phone (703) 257-7749

8704 Rolling Rd
Manassas, VA 20110
Phone (703) 361-3132

9303 Forest Point Cir
Manassas, VA 20110
Phone (703) 257-7749

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEDCBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEDCBD/Endpoint/AEDCBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1316669435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 ASHTON AVE STE 125",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095700",
            "telephone_number": "703-257-7749",
            "fax_number": "855-254-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 ASHTON AVE STE 125",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095700",
            "telephone_number": "703-257-7749",
            "fax_number": "855-254-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "YOOJIN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.