Individual provider Active NPI

Mismak Getachew Teferi

  • Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1609752484
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024194493 Issued in VA
Practice address
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone
(703) 391-3600
NPI assigned
Aug 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024194493 VA Primary

Addresses

Primary practice location

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709

Mailing address

6413 Blarney Stone CT
Springfield, VA 22152-2105
Phone (703) 867-7293

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250922000135 DC Practitioner - Nurse Practitioner 1557865649 Reassigns benefits to 3 organizations
I20260623000107 VA Practitioner - Nurse Practitioner 1557865649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Xcel Urgent Care LLCGroup PAC ID 1153742390, 4 clinicians
Xcel Primary Care PLLCGroup PAC ID 7719358472, 3 clinicians

Practice addresses (Care Compare)

3517 S Jefferson St
Falls Church, VA 22041-3106
Phone (844) 923-5227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024194493VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Xcel Primary Care PLLC CurrentSince Sep 5, 2025 Accepting new patients
Xcel Urgent Care LLC CurrentSince Sep 5, 2025 Accepting new patients

Locations

3517 S Jefferson St
Falls Church, VA 22041
Phone (703) 254-9158

Organizations & group practices 3

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": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1609752484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6413 BLARNEY STONE CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522105",
            "telephone_number": "703-867-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 JOSEPH SIEWICK DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331709",
            "telephone_number": "703-391-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEFERI",
        "first_name": "MISMAK",
        "middle_name": "GETACHEW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024194493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.