Active NPI
Millenium Elite Primary Care
- Adult Health Nurse Practitioner
- Fairfax, VA
National Provider Identifier
1659250595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- MILLENIUM ELITE PRIMARY CARE
- Practice address
- 3060 Williams Dr.
Suite 300
Fairfax, VA 22031 - Phone
- (703) 798-5295
- NPI assigned
- Aug 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Myrgine Barosy, APRN
- Title
- Owner
- Phone
- (703) 798-5295
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
3060 Williams Dr.
Suite 300
Fairfax, VA 22031
Mailing address
1320 Central Park Blvd Ste 200
Fredericksburg, VA 22401-4953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Fredericksburg, VA
- NPI 1528637618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756252800000",
"number": "1659250595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 CENTRAL PARK BLVD STE 200",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 WILLIAMS DR.",
"address_2": "SUITE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22031",
"telephone_number": "703-798-5295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLENIUM ELITE PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-27",
"last_updated": "2025-08-27",
"certification_date": "2025-08-15",
"status": "A",
"authorized_official_last_name": "BAROSY",
"authorized_official_first_name": "MYRGINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-798-5295",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.