Individual provider Active NPI

Cristie May Namata Brewer, CRNP

  • Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1407099989
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024168273 Issued in VA
Practice address
8081 Innovation Park Dr Ste 900
Fairfax, VA 22031-4867
Phone
(571) 472-4100
Fax
(571) 472-4101
NPI assigned
Apr 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024168273 VA Primary
Rehabilitation Hospital 283X00000X AC000689 MD
Neuroscience Clinical Nurse Specialist 364SN0800X 0024168273 VA

Addresses

Primary practice location

8081 Innovation Park Dr Ste 900
Fairfax, VA 22031-4867

Mailing address

3300 Gallows Rd
Dept. of Neurosciences, NPT 2ND Floor
Falls Church, VA 22042-3307
Phone (703) 776-8310

Other practice location 1

44055 Riverside Pkwy Ste 220
Leesburg, VA 20176-5177
Phone (571) 472-4100

Other practice location 2

3300 Gallows Rd
Dept. of Neurosciences, NPT 2nd Floor
Falls Church, VA 22042-3307
Phone (703) 776-8310

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cbrewer98035@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

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
I20130708000493 DC Practitioner - Nurse Practitioner 7719127190 Reassigns benefits to 2 organizations
I20140813002446 VA Practitioner - Nurse Practitioner 7719127190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, shared by 24 NPIs, 1,821 clinicians

Practice addresses (Care Compare)

3800 Fettler Park Dr
Suite 312
Dumfries, VA 22025-2043
Phone (571) 472-6791

8081 Innovation Park Dr
Suite 900
Fairfax, VA 22031-4867
Phone (571) 472-4100

Hospital & facility affiliations

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AC000689MDMDRehabilitation Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Oct 1, 2022 Accepting new patients
Inova Health Care Services CurrentSince Jun 17, 2013 Accepting new patients
Inova Health Care Services CurrentSince Jun 17, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1500 N Beauregard St
Ste 300
Alexandria, VA 22311
Phone (703) 845-1500

3800 Fettler Park Dr
Ste 312
Dumfries, VA 22025
Phone (571) 472-6791

8503 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 208-1741

3620 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 264-7801

8081 Innovation Park Dr
Ste 900
Fairfax, VA 22031
Phone (571) 472-4200

8081 Innovation Park Dr
Fairfax, VA 22031
Phone (571) 472-0606

8081 Innovation Park Dr
#900
Fairfax, VA 22031
Phone (571) 472-4200

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

3300 Gallows Rd
Fl 2
Falls Church, VA 22042
Phone (703) 776-2745

44055 Riverside Pkwy
Ste 220
Leesburg, VA 20176
Phone (703) 858-3060

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

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 and National Provider Directory roles.

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": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1407099989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "address_2": "DEPT. OF NEUROSCIENCES, NPT 2ND FLOOR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "703-776-8310",
            "fax_number": "703-776-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 INNOVATION PARK DR STE 900",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314867",
            "telephone_number": "571-472-4100",
            "fax_number": "571-472-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44055 Riverside Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201765177",
            "country_code": "US",
            "telephone_number": "571-472-4100",
            "fax_number": "571-472-4101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_2": "Dept. of Neurosciences, NPT 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-8310",
            "fax_number": "703-776-4018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "CRISTIE MAY",
        "middle_name": "NAMATA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024168273",
            "primary": true
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "MD",
            "license": "AC000689",
            "primary": false
        },
        {
            "code": "364SN0800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Neuroscience",
            "state": "VA",
            "license": "0024168273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbrewer98035@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8503 Arlington Blvd Ste 200",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220314629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.