Individual provider Active NPI

Eileen Mary McCormack, NP

  • Nurse Practitioner
  • Falls Church, VA
National Provider Identifier
1659528024
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024167933 Issued in VA
Practice address
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone
(703) 776-4001
Fax
(703) 776-7113
NPI assigned
Aug 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 0024167933 VA
Nurse Practitioner 363L00000X 0024167933 VA Primary

Addresses

Primary practice location

3300 Gallows Rd
Falls Church, VA 22042-3307

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

8081 Innovation Park Dr
Fairfax, VA 22031-4867
Phone (571) 472-4724

Other practice location 2

3580 Joseph Siewick Dr Ste 403
Fairfax, VA 22033-1764
Phone (703) 620-1144

Other practice location 3

1800 N Beauregard St Ste 350
Alexandria, VA 22311-1725
Phone (703) 933-8125

Other practice location 4

3580 Joseph Siewick Dr Ste 403
Fairfax, VA 22033-1764
Phone (703) 391-4395

Other practice location 5

1800 N Beauregard St Ste 210
Alexandria, VA 22311-1735
Phone (703) 933-8125

Other practice location 6

8501 Arlington Blvd Ste 340
Fairfax, VA 22031-4625
Phone (703) 207-0733

Other names 1

  • Eileen Mary McCormack Cabral Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emccormack138507@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101129000457 DC Practitioner - Nurse Practitioner 5698961951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

8081 Innovation Park Dr
Fairfax, VA 22031-4867

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024167933VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Aug 25, 2014 Accepting new patients
Inova Health Care Services Current Accepting new patients

Locations

1800 N Beauregard St
Ste 210
Alexandria, VA 22311
Phone (703) 933-8125

8101 Hinson Farm Rd
Ste 417
Alexandria, VA 22306
Phone (703) 799-0602

1800 N Beauregard St
Ste 350
Alexandria, VA 22311
Phone (703) 379-9111

3580 Joseph Siewick Dr
Ste 403
Fairfax, VA 22033
Phone (703) 391-4395

8501 Arlington Blvd
Ste 340
Fairfax, VA 22031
Phone (703) 207-0733

8081 Innovation Park Dr
Ste 301
Fairfax, VA 22031
Phone (571) 472-6431

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Interoperability endpoints

  • Direct secure messaging: emccormack138507@soc.inova.org

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.

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": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1659528024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8081 Innovation Park Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314867",
            "country_code": "US",
            "telephone_number": "571-472-4724",
            "fax_number": "571-472-0241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3580 Joseph Siewick Dr Ste 403",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331764",
            "country_code": "US",
            "telephone_number": "703-620-1144",
            "fax_number": "703-620-3951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 N Beauregard St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223111725",
            "country_code": "US",
            "telephone_number": "703-933-8125",
            "fax_number": "703-933-8216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3580 Joseph Siewick Dr Ste 403",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331764",
            "country_code": "US",
            "telephone_number": "703-391-4395",
            "fax_number": "703-391-4394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 N Beauregard St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223111735",
            "country_code": "US",
            "telephone_number": "703-933-8125",
            "fax_number": "703-933-8216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8501 Arlington Blvd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314625",
            "country_code": "US",
            "telephone_number": "703-207-0733",
            "fax_number": "703-207-0736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "EILEEN",
        "middle_name": "MARY",
        "name_prefix": "Prof.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167933",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024167933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emccormack138507@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8081 Innovation Park Dr",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220314867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "MCCORMACK CABRAL",
            "middle_name": "MARY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.