Individual provider Active NPI

Jakeline Xochitl Merino

  • Family Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1366085169
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024177962 Issued in VA
Practice address
14527 Richmond Hwy
Woodbridge, VA 22191-2817
Phone
(703) 497-1234
NPI assigned
Oct 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN1030585 DC
Family Nurse Practitioner 363LF0000X 0024177962 VA Primary

Addresses

Primary practice location

14527 Richmond Hwy
Woodbridge, VA 22191-2817

Mailing address

14527 Richmond Hwy
Woodbridge, VA 22191-2817

Other practice location 1

106 Irving at NW
Suite 419
Washington DC, DC 20010
Phone (202) 877-0860

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
I20200213000108 DC Practitioner - Nurse Practitioner 6800222779 Reassigns benefits to 1 organization
I20220628001223 VA Practitioner - Nurse Practitioner 6800222779 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roanoke Valley Healthcare Partners LLCGroup PAC ID 0143490326, 53 clinicians

Practice addresses (Care Compare)

4101 Cheshire Station PLZ
Suite 500
Woodbridge, VA 22193-2200
Phone (571) 374-1234

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024177962VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roanoke Valley Healthcare Partners, LLC CurrentSince Sep 1, 2024 Accepting new patients
Capital Healthcare PC CurrentSince Jul 1, 2023 Accepting new patients
Capital Healthcare PC Dba Allcare Current Accepting new patients
Medical Access P.C. CurrentSince May 1, 2022 Accepting new patients
Blue Ridge Healthcare Partners, LLC Past Accepting new patients
Tru Health Group, PC PastSince Jul 9, 2023 Accepting new patients

Locations

12321 Middlebrook Rd
Ste 101
Germantown, MD 20874
Phone 3014281070260

6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993

602 Brandon Ave SW
Ste 222
Roanoke, VA 24015
Phone (540) 774-0000

4167 Merchant Plz
Woodbridge, VA 22192
Phone (703) 878-8800

4101 Cheshire Station Plz
Ste 500
Woodbridge, VA 22193
Phone (571) 374-1234

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1366085169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14527 RICHMOND HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14527 RICHMOND HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912817",
            "telephone_number": "703-497-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Irving at NW",
            "address_2": "Suite 419",
            "address_purpose": "LOCATION",
            "city": "Washington DC",
            "state": "DC",
            "postal_code": "20010",
            "country_code": "US",
            "telephone_number": "202-877-0860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERINO",
        "first_name": "JAKELINE",
        "middle_name": "XOCHITL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN1030585",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.