Mackenzie Hamilton Glassmacher, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024180139 Issued in VA

Practice address

75 W Lee Hwy
Warrenton, VA 20186-2149

Phone

(540) 351-0662

NPI assigned

Oct 19, 2020

Last updated

Feb 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: mhamilton212861@soc.inova.org

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC

  Medicare reassignment Care Compare group NPD
• Commonwealth Emergency Physicians PC

  • Emergency Medicine Physician
  • Leesburg, VA
  • NPI 1598723082

  DC

  Medicare reassignment NPD
• DMV Urgent Care LLC

  dba GoWell Urgent Care

  • Urgent Care Clinic/Center
  • Warrenton, VA
  • NPI 1689539975
  Medicare reassignment NPD
• Inova Health Care Services

  dba Inova Urgent Care Center

  • Urgent Care Clinic/Center
  • Vienna, VA
  • NPI 1275886418

  DC

  Medicare reassignment NPD
• Inova Health Care Services

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1952320061
  Medicare reassignment NPD
• Inova Ucc LLC

  • Urgent Care Clinic/Center
  • Vienna, VA
  • NPI 1508592114

  DC

  Medicare reassignment NPD
• Inova Health Care Services

  dba Inova Blood Donor Services

  • Medical Technologist
  • Sterling, VA
  • NPI 1699655589
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Inova Health Care Services

  dba Inova Physical Therapy Center

  • Physical Therapist
  • Springfield, VA
  • NPI 1043563257
  NPD (past)
• Nova Physician Wellness Center PLLC

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1215307400
  NPD (past)

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707004800000",
    "number": "1477152866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 PARKSIDE CT",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201872432",
            "telephone_number": "703-909-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W LEE HWY",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862149",
            "telephone_number": "540-351-0662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Parkers Ln",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223063209",
            "country_code": "US",
            "telephone_number": "703-664-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Lee Hwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222073419",
            "country_code": "US",
            "telephone_number": "571-492-3080",
            "fax_number": "571-492-3081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24801 Pinebrook Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201524113",
            "country_code": "US",
            "telephone_number": "703-722-2500",
            "fax_number": "703-327-1850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASSMACHER",
        "first_name": "MACKENZIE",
        "middle_name": "HAMILTON",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2024-02-04",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhamilton212861@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": "4600 Lee Hwy Ste C",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222073419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Giant of Maryland LLC (Giant Pharmacy 778)
• Kristin Gibbs, M.S. CCC-SLP
• Adrienne Gillett, MA
• Gina C Moore MD PLC (Womens Care of Warrenton)
• Denise Leanne Glasser, PHARMD
• Michelle R Glowicki, PA C
• Brittany Goldman
• Ken Evan Goldstein, D.P.M.
• Steven Jay Goldstein, DPM
• Michelle Goloborodko Birjandian, NCC; LPC

• Family Nurse Practitioner in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2024; 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.

Verify at the official NPI Registry.