Individual provider Active NPI

Maria Lucille Fain, CRNA

  • Certified Registered Nurse Anesthetist
  • Fairfax, VA
National Provider Identifier
1407854250
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN67020 Issued in DC
Practice address
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone
(703) 391-3129
NPI assigned
Jul 14, 2005
Last updated
Jul 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0021467208 VA
Certified Registered Nurse Anesthetist 367500000X RN67020 DC Primary

Addresses

Primary practice location

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709

Mailing address

11781 Lee Jackson Memorial Hwy
Fairfax, VA 22033-3309
Phone (571) 777-5164

Other practice location 1

9321 Sanger St Ste 200
Lorton, VA 22079-2720
Phone (703) 672-2640

Other names 1

  • Lucille Quizon Fain Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050210000519 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345292058 Reassigns benefits to 3 organizations
I20170427000522 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345292058 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Virginia, LLCGroup PAC ID 6608268826, 407 clinicians
Surgical Anesthesia Associates PLLCGroup PAC ID 5890739205, 86 clinicians

Practice addresses (Care Compare)

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 664-7000

5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 537-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0021467208VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC CurrentSince May 1, 2021 Accepting new patients
Northstar Anesthesia of Virginia, LLC CurrentSince Feb 16, 2022 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince May 1, 2021 Accepting new patients
Surgical Anesthesia Associates, PLLC CurrentSince Aug 13, 2020 Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

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

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

9321 Sanger St
#200
Lorton, VA 22079
Phone (703) 300-8428

Interoperability endpoints

  • Direct secure messaging: lfain649421@direct.hopkinsmedicine.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1407854250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11781 LEE JACKSON MEMORIAL HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333309",
            "telephone_number": "571-777-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 JOSEPH SIEWICK DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331709",
            "telephone_number": "703-391-3129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9321 Sanger St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lorton",
            "state": "VA",
            "postal_code": "220792720",
            "country_code": "US",
            "telephone_number": "703-672-2640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIN",
        "first_name": "MARIA",
        "middle_name": "LUCILLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0021467208",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DC",
            "license": "RN67020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCILLE",
            "last_name": "FAIN",
            "middle_name": "QUIZON",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.