Kristen Dickert, FNP
Individual provider Active NPI Family Nurse Practitioner · Fairfax, VA
NPI 1477949758 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1477949758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024172218 (VA)
- Practice address
- 3053 Nutley St
Fairfax, VA 22031-1931 - Phone
- (434) 258-2877
- NPI assigned
- Apr 13, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ennoble HC DMV LLC
Rahel G. Yirga MD PC
Practice addresses (Care Compare)
Washington, DC 20002
Phone (862) 812-9010
Falls Church, VA 22042
Phone (703) 425-9765
20 Pidgeon Hill Dr
Suite 208
Sterling, VA 20165-6134
Phone (703) 539-6029
20130 Lakeview Ctr PLZ
Suite 400
Ashburn, VA 20147-5905
Phone (862) 812-9010
Hospital & facility affiliations
- Bayada Home Health Care Inc
- National Home Health Care Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150529001210 | DC | Practitioner - Nurse Practitioner | 2062732241 | Reassigns benefits to 4 organizations |
| I20151201001649 | VA | Practitioner - Nurse Practitioner | 2062732241 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024172218 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ennoble HC DMV III LLC | Current |
Accepting new patients | |
| Ennoble HC DMV II LLC | Current |
Accepting new patients | |
| Ennoble HC DMV LLC | Current |
Accepting new patients | |
| Rahel G. Yirga MD PC | Current |
Accepting new patients |
Locations
1500 K St NW
Fl 2
Washington, DC 20005
Phone (212) 287-4257
2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142
20130 Lakeview Center Plz
Ste 400
Ashburn, VA 20147
Phone (700) 865-2144
6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756
11350 Random Hills Rd
Ste 800
Fairfax, VA 22030
Phone (571) 517-1363
20 Pidgeon Hill Dr
Ste 208
Sterling, VA 20165
Phone (703) 539-6029
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024172218 | VA | Yes |
Addresses
Primary practice location
3053 Nutley St
Fairfax, VA 22031-1931
Mailing address
2 University PLZ Ste 204
Hackensack, NJ 07601-6211
Phone (551) 295-8223
Other practice location 1
20130 Lakeview Center Plz Ste 400
Ashburn, VA 20147-5905
Phone (551) 295-8223
Other practice location 2
39 V St NE
Washington, DC 20002-1329
Phone (551) 295-8223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477949758 | Medicaid | VA |
Other providers in Fairfax, VA
- Samantha Leigh Dibenedetto
- Barry S Dicicco
- Ian Edwin Dick
- Michelle Dickerson
- Ryan Dickerson
- Nana Dickson
- Nicole Alyssa Emma Dietz
- Marie Bernadette Gaston Diez
- Angela J Diggs
- Digitrace Care Services Inc.
All providers in Fairfax, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.