Individual provider Active NPI

Jamilyn Fano, PA-C

  • Physician Assistant
  • Fairfax, VA
National Provider Identifier
1699921460
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110002896 Issued in VA
Practice address
3620 Joseph Siewick Dr
Ste 100
Fairfax, VA 22033-1757
Phone
(703) 810-5223
NPI assigned
Aug 13, 2008
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002896 VA Primary

Addresses

Primary practice location

3620 Joseph Siewick Dr
Ste 100
Fairfax, VA 22033-1757

Mailing address

PO Box 75420
Baltimore, MD 21275-5420
Phone (703) 383-6469

Other names 1

  • Jamilyn Flyzik Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfano6414@direct.orthovirginia.com Other

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
I20081028000211 DC Practitioner - Physician Assistant 6002974565 Reassigns benefits to 1 organization
I20200518003120 VA Practitioner - Physician Assistant 6002974565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

3620 Joseph Siewick Dr
Fairfax, VA 22033-1757

6354 Walker Lane
Suite 300
Alexandria, VA 22310-3252
Phone (703) 810-5210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc CurrentSince Jan 1, 2015 Accepting new patients
Orthovirginia, Inc. CurrentSince Jan 1, 2015 Accepting new patients
Orthovirginia, Inc Physician Assistant CurrentSince May 11, 2020 Accepting new patients
Orthovirginia, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210

3620 Joseph Siewick Dr
Ste 100
Fairfax, VA 22033
Phone (703) 277-2663

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1850 Town Center Pkwy
Ste 400
Reston, VA 20190
Phone (703) 234-1000

8320 Old Courthouse Rd
Ste 100
Vienna, VA 22182
Phone (703) 810-5213

Interoperability endpoints

  • Direct secure messaging: jfano6414@direct.orthovirginia.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1699921460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75420",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212755420",
            "telephone_number": "703-383-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR",
            "address_2": "STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331757",
            "telephone_number": "703-810-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANO",
        "first_name": "JAMILYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfano6414@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Fano direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "3620 JOSEPH SIEWICK DR",
            "address_2": "STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220331757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAMILYN",
            "last_name": "FLYZIK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.