Annie Pratt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110004881 Issued in VA

Practice address

45155 Research PL Ste 140
Ashburn, VA 20147-4193

Phone

(038) 580-5007

Fax

(703) 858-5155

NPI assigned

Jul 13, 2015

Last updated

Apr 11, 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

Medicare fee-for-service enrollment

Enrolled in VA, DC2 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

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology of Maryland PCGroup PAC ID 9931489804, 43 clinicians

Advanced Dermatology of Virginia IncGroup PAC ID 9436438538, 27 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.95 of 100Reported as group

Quality

78.27

Promoting interoperability

91

Improvement activities

20

Cost

74.08

Merit-based Incentive Payment System (MIPS)

Final score

83.97 of 100Reported as group

Quality

78.47

Promoting interoperability

83

Improvement activities

40

Cost

82.27

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Advanced Dermatology of Maryland PC

  • Dermatology Physician
  • Rockville, MD
  • NPI 1760856413

  DC

  Medicare reassignment Care Compare group NPD (past)
• Advanced Dermatology of Virginia Inc

  • Dermatology Physician
  • Alexandria, VA
  • NPI 1801342639
  Medicare reassignment Care Compare group
• Advanced Dermatology of Maryland PC

  • Dermatology Physician
  • Fort Washington, MD
  • NPI 1386479004
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1548644206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5733 YEWING WAY",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551346",
            "telephone_number": "214-289-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45155 RESEARCH PL STE 140",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474193",
            "telephone_number": "038-580-5007",
            "fax_number": "703-858-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14995 Shady Grove Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208508732",
            "country_code": "US",
            "telephone_number": "301-358-5919",
            "fax_number": "301-358-5939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATT",
        "first_name": "ANNIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nana Akosua Prempeh, NP
• Alexandra Price, NP
• Prime Solutions Consulting Inc (Ellie Mental Health Ashburn)

• Physician Assistant in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.