Individual provider Active NPI

Janine Prime, NP

  • Adult Medicine Physician
  • Manassas, VA
National Provider Identifier
1669996062
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
0024175178 Issued in VA
Practice address
9306 Forest Point Cir
Manassas, VA 20110-4700
Phone
(703) 330-4300
NPI assigned
Jul 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 0024175178 VA
Primary Care Nurse Practitioner 363LP2300X 0024175178 VA
Adult Medicine Physician 207QA0505X 0024175178 VA Primary

Addresses

Primary practice location

9306 Forest Point Cir
Manassas, VA 20110-4700

Mailing address

6621 Oakton Ave
Haymarket, VA 20169-4932
Phone (703) 889-0969

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171018000161 VA Practitioner - Nurse Practitioner 7315213444 Reassigns benefits to 8 organizations
I20181004001628 DC Practitioner - Nurse Practitioner 7315213444 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians
Legacy Care LLCGroup PAC ID 0042458200, 42 clinicians

Practice addresses (Care Compare)

3620 Joseph Siewick Dr
Suite 307
Fairfax, VA 22033-1760
Phone (703) 281-1023

3650 Joseph Siewick Dr
Suite 204
Fairfax, VA 22033-1712
Phone (703) 264-0521

780 Lynnhaven Pkwy
Suite 400
Virginia Beach, VA 23452-7332
Phone (757) 536-2246

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Team, Inc CurrentSince Jan 21, 2026 Accepting new patients
Fair Oaks Hospitalist Physicians, PLLC CurrentSince Oct 1, 2018 Accepting new patients
Signify Health, LLC CurrentSince Aug 12, 2023 Accepting new patients
The Medical Team Inc CurrentSince Jan 21, 2026 Accepting new patients
Virginia Internal Medicine Inc CurrentSince Aug 1, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 10, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 10, 2023 Accepting new patients
Dr Arun K Gupta PC CurrentSince Jul 31, 2017 Accepting new patients
Rahel G. Yirga MD PC CurrentSince Aug 1, 2018 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756

9640 Burke Lake Rd
Burke, VA 22015
Phone (347) 761-7200

3650 Joseph Siewick Dr
Ste 204
Fairfax, VA 22033
Phone (703) 264-0521

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3440 S Jefferson St
#12202
Falls Church, VA 22041
Phone (703) 820-1488

3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108

14935 Holly Knoll Ln
Gainesville, VA 20155
Phone (703) 473-3999

9306 Forest Point Cir
Manassas, VA 20110
Phone (703) 330-3322

8644 Sudley Rd
#220
Manassas, VA 20110

1896 Preston White Dr
Reston, VA 20191
Phone (703) 390-2300

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

20 Pidgeon Hill Dr
Ste 208
Sterling, VA 20165
Phone (703) 539-6029

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: janine.prime.1@8042.direct.athenahealth.com

Organizations & group practices 12

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 3

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": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1669996062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 OAKTON AVE",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201694932",
            "telephone_number": "703-889-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9306 FOREST POINT CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104700",
            "telephone_number": "703-330-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIME",
        "first_name": "JANINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0024175178",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024175178",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0024175178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.