Individual provider Active NPI

Debra A Herrmann, PA

  • Physician Assistant
  • Arlington, VA
National Provider Identifier
1457310898
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001806 Issued in VA
Practice address
1701 North George Mason Drive
Arlington, VA 22205
Phone
(703) 558-6167
Fax
(703) 558-5355
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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 0110001806 VA Primary

Addresses

Primary practice location

1701 North George Mason Drive
Arlington, VA 22205

Mailing address

1300 Piccard Drive
Suite 202
Rockville, MD 20850-4303
Phone (301) 921-7900

Other names 1

  • Debra Danise Allen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20040512000515 DC Practitioner - Physician Assistant 7113916263 Reassigns benefits to 2 organizations
I20260505001142 MD Practitioner - Physician Assistant 7113916263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH MD Management LLCGroup PAC ID 2466841028, 70 clinicians

Practice addresses (Care Compare)

821 Prince Frederick Blvd
Prince Frederick, MD 20678-3137
Phone (410) 535-8911

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110001806VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2004 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2005 Accepting new patients
Emergency Medicine Associates PA CurrentSince Jan 1, 2004 Accepting new patients
Mid-Atlantic Critical Care Services,L.L.C. Past Accepting new patients
Shenandoah Valley Medical System, Inc. Past Accepting new patients
Shenandoah Valley Medical System, Inc. Past Accepting new patients

Locations

20010 Century Blvd
Ste 200
Germantown, MD 20874

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1457310898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PICCARD DRIVE",
            "address_2": "SUITE 202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504303",
            "telephone_number": "301-921-7900",
            "fax_number": "301-921-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 NORTH GEORGE MASON DRIVE",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22205",
            "telephone_number": "703-558-6167",
            "fax_number": "703-558-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "DEBRA",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "ALLEN",
            "middle_name": "DANISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.