Individual provider Active NPI

Jane Y Hwang, FNP-BC, PMHNP-BC

  • Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1396818795
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
024168508 Issued in VA
Practice address
8644 Sudley Rd Ste 315
Manassas, VA 20110
Phone
(703) 369-8055
Fax
(703) 369-8565
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201156 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 161246 NC
Nurse Practitioner 363L00000X 024168508 VA Primary

Addresses

Primary practice location

8644 Sudley Rd Ste 315
Manassas, VA 20110

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (703) 369-8055

Other practice location 1

790 SE Cary Pkwy
Ste 201
Cary, NC 27511-5678
Phone (919) 443-4100

Other practice location 2

790 SE Cary Pkwy
Ste 201
Cary, NC 27511-5678
Phone (919) 443-4100

Other identifiers 2

IdentifierTypeStateIssuer
C02810OtherVAMEDICARE GROUP
004945247MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024168508VAMDNurse Practitioner
161246NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital, Inc. Past Accepting new patients
Prince William County Past Accepting new patients
Prince William County Community Services Board PastSince Feb 1, 2026 Accepting new patients

Organizations & group practices 3

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1396818795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "703-369-8055",
            "fax_number": "703-369-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8644 SUDLEY RD STE 315",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-369-8055",
            "fax_number": "703-369-8565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 SE Cary Pkwy",
            "address_2": "Ste 201",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275115678",
            "country_code": "US",
            "telephone_number": "919-443-4100",
            "fax_number": "877-904-9349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 SE Cary Pkwy",
            "address_2": "Ste 201",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275115678",
            "country_code": "US",
            "telephone_number": "919-443-4100",
            "fax_number": "877-904-9349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HWANG",
        "first_name": "JANE",
        "middle_name": "Y",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201156",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "161246",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "024168508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C02810",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945247",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.