Individual provider Active NPI

Ella Hyeseung Jo

  • Nurse Practitioner
  • Leesburg, VA
National Provider Identifier
1396497178
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024185733 Issued in VA
Practice address
19441 Golf Vista PLZ Ste 230
Leesburg, VA 20176-8271
Phone
(703) 729-3420
NPI assigned
Jan 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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 0024185733 VA Primary
Nurse Practitioner 363L00000X AC007397 MD

Addresses

Primary practice location

19441 Golf Vista PLZ Ste 230
Leesburg, VA 20176-8271

Mailing address

PO Box 3250
Winchester, VA 22604-2450
Phone (703) 673-4490

Other identifiers 1

IdentifierTypeStateIssuer
30017579030001MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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

Enrollment IDStateProvider typePAC IDDetails
I20230324000762 VA Practitioner - Nurse Practitioner 6103290614 Reassigns benefits to 2 organizations
I20230324001387 DC Practitioner - Nurse Practitioner 6103290614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Sleep Care Center IncGroup PAC ID 8022171800, 16 clinicians

Practice addresses (Care Compare)

19441 Golf Vista PLZ
Suite 230
Leesburg, VA 20176-8271
Phone (703) 729-3420

6000 Executive Blvd
Suite 604
North Bethesda, MD 20852-3830
Phone (703) 729-3420

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
79.46
Improvement activities
40
Cost
66.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC007397MDMDNurse Practitioner
0024185733VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Sleep Care Center, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Comprehensive Sleep Care Center Inc CurrentSince Jun 1, 2025 Accepting new patients
Virginia Internal Medicine Inc CurrentSince Mar 1, 2023 Accepting new patients
Comprehensive Sleep Care Center Inc CurrentSince Jun 1, 2025 Accepting new patients
Loudoun Medical Group, PC Current Accepting new patients

Locations

621 Ridgely Ave
Ste 402
Annapolis, MD 21401

12850 Middlebrook Rd
Ste 250
Germantown, MD 20874
Phone (240) 361-2056

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

6000 Executive Blvd
Ste 604
Rockville, MD 20852

5901 Kingstowne Village Pkwy
Ste 101
Alexandria, VA 22315
Phone (703) 778-3774

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

200 N Glebe Rd
Ste 316
Arlington, VA 22203

9640 Burke Lake Rd
Burke, VA 22015
Phone (347) 761-7200

4080 Lafayette Center Dr
Ste 170C
Chantilly, VA 20151

3687 Fettler Park Dr
Dumfries, VA 22025
Phone (540) 666-6181

3440 S Jefferson St
#12202
Falls Church, VA 22041
Phone (703) 820-1488

3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108

605 Emancipation Hwy
Ste 2B
Fredericksburg, VA 22401

605 Emancipation Hwy
Slp Care
Fredericksburg, VA 22401

19441 Golf Vista Plz
Ste 230
Leesburg, VA 20176
Phone (703) 724-7474

19441 Golf Vista Plz
Ste 310
Leesburg, VA 20176

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

9420 Forestwood Ln
Ste 202
Manassas, VA 20110

4897 Prince William Pkwy
Ste 102
Woodbridge, VA 22192

Organizations & group practices 5

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": "1642809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1396497178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3250",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226042450",
            "telephone_number": "703-673-4490",
            "fax_number": "540-678-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19441 GOLF VISTA PLZ STE 230",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768271",
            "telephone_number": "703-729-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JO",
        "first_name": "ELLA",
        "middle_name": "HYESEUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-22",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024185733",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC007397",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017579030001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.