Individual provider Active NPI

Allison Edna Roca, DNP

  • Adult Health Nurse Practitioner
  • Dulles, VA
National Provider Identifier
1679330682
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024188209 Issued in VA
Practice address
44330 Mercure Cir Ste 240
Dulles, VA 20166-3800
Phone
(703) 727-0523
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0024188209 VA
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X 0024188209 VA Primary

Addresses

Primary practice location

44330 Mercure Cir Ste 240
Dulles, VA 20166-3800

Mailing address

4321 Donna Marie CT
Haymarket, VA 20169-1746
Phone (703) 678-1951

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
I20250627000776 DC Practitioner - Nurse Practitioner 3870006455 Reassigns benefits to 1 organization
I20250805000084 VA Practitioner - Nurse Practitioner 3870006455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightstone LLCGroup PAC ID 5395071351, 5 clinicians

Practice addresses (Care Compare)

10040 Pentland Hills Way
Bristow, VA 20136-2665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brightstone, LLC Multi-Specialty CurrentSince Jun 12, 2025 Accepting new patients

Organizations & group practices 1

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": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1679330682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 DONNA MARIE CT",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201691746",
            "telephone_number": "703-678-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44330 MERCURE CIR STE 240",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201663800",
            "telephone_number": "703-727-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCA",
        "first_name": "ALLISON",
        "middle_name": "EDNA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024188209",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024188209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dulles, VA

Sources for this page

Verify at the official NPI Registry.