Individual provider Active NPI

Beza Mesfin

  • Family Nurse Practitioner
  • McLean, VA
National Provider Identifier
1679325971
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024192240 Issued in VA
Practice address
1313 Dolley Madison Boulevard, Suite 104
McLean, VA 22101-3926
Phone
(703) 263-8282
Fax
(571) 378-0889
NPI assigned
Apr 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 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 0024192240 VA Primary

Addresses

Primary practice location

1313 Dolley Madison Boulevard, Suite 104
McLean, VA 22101-3926

Mailing address

224-D Cornwall Street, NW, Ste 403
Leesburg, VA, VA 20176-2704
Phone (703) 737-6010

Other identifiers 2

IdentifierTypeStateIssuer
1679325971MedicaidVA
30018277340001MedicaidVA

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
I20250613002364 DC Practitioner - Nurse Practitioner 8820509110 Reassigns benefits to 1 organization
I20250619000185 VA Practitioner - Nurse Practitioner 8820509110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Marymount University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians

Practice addresses (Care Compare)

1313 Dolley Madison Blvd
Suite 104
MC Lean, VA 22101-3926
Phone (703) 783-5673

21035 Sycolin Rd
Suite 180
Ashburn, VA 20147-4098
Phone (703) 783-5673

6355 Walker LN
308 Metropolitan ENT
Alexandria, VA 22310-3247
Phone (703) 313-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Medical Group, PC CurrentSince May 12, 2025 Accepting new patients
Loudoun Medical Group, PC Current Accepting new patients
Loudoun Medical Group, PC CurrentSince May 12, 2025 Accepting new patients

Locations

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

21035 Sycolin Rd
Ste 180
Ashburn, VA 20147
Phone (703) 783-5673

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

3700 Joseph Siewick Dr
Ste 106
Fairfax, VA 22033
Phone (571) 724-4400

7564 Gardner Park Dr
Gainesville, VA 20155
Phone (571) 561-3400

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

1313 Dolley Madison Blvd
Ste 105
McLean, VA 22101
Phone (703) 525-2200

1313 Dolley Madison Blvd
Ste 104
McLean, VA 22101
Phone (703) 263-8282

Interoperability endpoints

  • Direct secure messaging: beza.mesfin@lmg1.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1679325971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224-D CORNWALL STREET, NW, STE 403",
            "city": "LEESBURG, VA",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6010",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 DOLLEY MADISON BOULEVARD, SUITE 104",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013926",
            "telephone_number": "703-263-8282",
            "fax_number": "571-378-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESFIN",
        "first_name": "BEZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024192240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679325971",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30018277340001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.