NPIMap

Individual provider Active NPI

Marina Hendrickson

  • Physician Assistant
  • Reston, VA
National Provider Identifier
1447828751
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1860 Town Center Dr Ste 270
Reston, VA 20190-5899
Phone
(703) 318-8157
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1860 Town Center Dr Ste 270
Reston, VA 20190-5899

Mailing address

2701 Connecticut Ave NW Apt 402
Washington, DC 20008-5301
Phone (719) 360-5710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, CO3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210824003246 DC Practitioner - Physician Assistant 3971908229 Reassigns benefits to 1 organization
I20210831001493 VA Practitioner - Physician Assistant 3971908229
I20250312001325 CO Practitioner - Physician Assistant 3971908229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
George Washington University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Jewish HealthGroup PAC ID 4587577028, 244 clinicians

Practice addresses (Care Compare)

1400 Jackson St
Denver, CO 80206-2761
Phone (303) 398-1355

1400 Jackson St
Denver, CO 80206-2762

Hospital & facility affiliations

  • National Jewish Health Hospital, Denver, CO, CCN 060107
  • University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024
  • Saint Joseph Hospital Hospital, Denver, CO, CCN 060028

Merit-based Incentive Payment System (MIPS)

Final score
79.69 of 100Reported as group
Quality
63.71
Improvement activities
40
Cost
76.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 2

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 32

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1447828751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 CONNECTICUT AVE NW APT 402",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200085301",
            "telephone_number": "719-360-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 270",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905899",
            "telephone_number": "703-318-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "MARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.