Individual provider Active NPI

Dongjin Shin, FNP

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1679273650
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024185537 Issued in VA
Practice address
2700 Prosperity Ave Ste 270
Fairfax, VA 22031-4321
Phone
(703) 698-2431
Fax
(571) 665-6878
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024185537 VA Primary

Addresses

Primary practice location

2700 Prosperity Ave Ste 270
Fairfax, VA 22031-4321

Mailing address

2700 Prosperity Ave Ste 270
Fairfax, VA 22031-4321
Phone (703) 698-2431

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
I20230511001118 VA Practitioner - Nurse Practitioner 9739545047 Reassigns benefits to 2 organizations
I20241227002179 DC Practitioner - Nurse Practitioner 9739545047 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
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

2700 Prosperity Ave
Suite 270
Fairfax, VA 22031-4321
Phone (703) 698-2431

3300 Gallows Rd
Falls Church, VA 22042-3307

Hospital & facility affiliations

  • Sheme Home Healthcare Agency, Inc Home health agency, Fairfax, VA, CCN 497626
  • Caregivers Home Health Services, Inc Home health agency, Tysons, VA, CCN 497559
  • Esprit Home Healthcare LLC Home health agency, Annandale, VA, CCN 497568
  • Goodwin Home Health Home health agency, Falls Church, VA, CCN 497662
  • Inova Home Health LLC Home health agency, Fairfax, VA, CCN 497008
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince Oct 1, 2023 Accepting new patients
Mary Washington Healthcare Providers LLC CurrentSince Dec 12, 2024 Accepting new patients
Inova Health Care Services CurrentSince Jan 21, 2025 Accepting new patients
Inova Health Care Services Current Accepting new patients
Inova Health Care Services CurrentSince Jan 21, 2025 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Oct 1, 2023 Accepting new patients

Locations

8095 Innovation Park Dr
Bldg C
Fairfax, VA 22031
Phone (571) 472-6253

2700 Prosperity Ave
Ste 270
Fairfax, VA 22031
Phone (703) 698-2431

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

405 Chatham Heights Rd
Fredericksburg, VA 22405
Phone (540) 300-6182

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Interoperability endpoints

  • Direct secure messaging: dshin624232@soc.inova.org

Organizations & group practices 6

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 6

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": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1679273650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 PROSPERITY AVE STE 270",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314321",
            "telephone_number": "703-698-2431",
            "fax_number": "571-665-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 PROSPERITY AVE STE 270",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314321",
            "telephone_number": "703-698-2431",
            "fax_number": "571-665-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "DONGJIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.