Active NPI
Ann Rochell Ermitanio, PA
- Physician Assistant
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110008315
- Practice address
- 8081 Innovation Park Dr
Fairfax, VA 22031-4867 - Phone
- (571) 472-4724
- Fax
- (571) 472-0241
- NPI assigned
- May 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 096 | MP | |
| Physician Assistant | 363A00000X | C0007287 | MD | |
| Physician Assistant | 363A00000X | 0110008315 | VA | Primary |
Addresses
Primary practice location
8081 Innovation Park Dr
Fairfax, VA 22031-4867
Mailing address
14989 Grassy Knoll CT
Woodbridge, VA 22193-6004
Phone (808) 829-1527
Other practice location 1
1235 E Monument St
Baltimore, MD 21202-5327
Phone (410) 327-5100
Other practice location 2
2079 Daniel Stuart Sq
Woodbridge, VA 22191-3317
Phone (833) 443-6662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 N Beauregard St
Alexandria, VA 22311-1725
44055 Riverside Pkwy
Suite 108
Leesburg, VA 20176-5179
Phone (703) 858-8600
8081 Innovation Park Dr
Fairfax, VA 22031-4867
Hospital & facility affiliations
- Inova Fairfax Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0007287 | MD | MD | Physician Assistant |
| 096 | MP | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Past | Accepting new patients |
Locations
8081 Innovation Park Dr
Ste 301
Fairfax, VA 22031
Phone (571) 472-6431
8081 Innovation Park Dr
Fairfax, VA 22031
Phone (571) 472-0606
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
44055 Riverside Pkwy
Ste 108
Leesburg, VA 20176
Phone (703) 858-8600
14349 Gideon Dr
Ste 300
Woodbridge, VA 22192
Phone (571) 472-8768
Interoperability endpoints
- aermitanio1101791@soc.inova.org
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.
-
- Hematology & Oncology Physician
- Woodbridge, VA
- NPI 1912064585
-
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1407201833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14989 GRASSY KNOLL CT",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221936004",
"telephone_number": "808-829-1527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8081 INNOVATION PARK DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314867",
"telephone_number": "571-472-4724",
"fax_number": "571-472-0241"
}
],
"practiceLocations": [
{
"address_1": "1235 E Monument St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212025327",
"country_code": "US",
"telephone_number": "410-327-5100",
"fax_number": "410-327-8373",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2079 Daniel Stuart Sq",
"address_purpose": "LOCATION",
"city": "Woodbridge",
"state": "VA",
"postal_code": "221913317",
"country_code": "US",
"telephone_number": "833-443-6662",
"fax_number": "844-463-3895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERMITANIO",
"first_name": "ANN ROCHELL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MP",
"license": "096",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0007287",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110008315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.