Individual provider Active NPI

Sara Jeanne Glessner, MSN, FNP-C, RNFA

  • Family Nurse Practitioner
  • Lake Ridge, VA
National Provider Identifier
1629684428
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024180878 Issued in VA
Practice address
1721 Financial Loop
Lake Ridge, VA 22192-2460
Phone
(703) 491-9500
Fax
(703) 491-9994
NPI assigned
Sep 17, 2020
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024180878 VA Primary
Registered Nurse First Assistant 163WR0006X 0001185479 VA

Addresses

Primary practice location

1721 Financial Loop
Lake Ridge, VA 22192-2460

Mailing address

1721 Financial Loop
Lake Ridge, VA 22192-2460
Phone (703) 491-9500

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

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
I20220302000566 DC Practitioner - Nurse Practitioner 3971997214 Reassigns benefits to 3 organizations
I20221127000000 VA Practitioner - Nurse Practitioner 3971997214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10901 Conn Ave
Suite 200
Kensington, MD 20895-1645
Phone (301) 949-2000

1721 Financial Loop
Woodbridge, VA 22192-2460
Phone (703) 491-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001185479VAMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Apr 25, 2022 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC CurrentSince Sep 21, 2022 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC CurrentSince Sep 21, 2022 Accepting new patients
Orthovirginia, Inc CurrentSince Nov 5, 2021 Accepting new patients
Orthovirginia Inc. Current Accepting new patients
Orthovirginia, Inc. CurrentSince Nov 5, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Apr 25, 2022 Accepting new patients
Orthovirginia, Inc. Past Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Past Accepting new patients

Locations

10901 Connecticut Ave
Ste 200
Kensington, MD 20895
Phone (301) 949-2000

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210

66 Parkway Ln
Ste 102
Fishersville, VA 22939
Phone (540) 949-5150

1850 Town Center Pkwy
Ste 303
Reston, VA 20190
Phone (703) 348-7857

945 Garrisonville Rd
Stafford, VA 22556
Phone (540) 720-0700

8008 Westpark Dr
Tysons Corner, VA 22102
Phone (703) 287-6400

1721 Financial Loop
Woodbridge, VA 22192
Phone (703) 491-9500

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1629684428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 FINANCIAL LOOP",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221922460",
            "telephone_number": "703-491-9500",
            "fax_number": "703-491-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 FINANCIAL LOOP",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221922460",
            "telephone_number": "703-491-9500",
            "fax_number": "703-491-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLESSNER",
        "first_name": "SARA",
        "middle_name": "JEANNE",
        "credential": "MSN, FNP-C, RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180878",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "VA",
            "license": "0001185479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1721 Financial Loop",
            "city": "Lake Ridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221922460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Ridge, VA

Sources for this page

Verify at the official NPI Registry.