Individual provider Active NPI

Nicole De Las Alas, MSN, FNP-BC

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1740838978
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178155 Issued in VA
Practice address
3930 Walnut St Ste 101
Fairfax, VA 22030-4750
Phone
(703) 246-9246
Fax
(703) 246-9257
NPI assigned
Aug 30, 2019
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 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 0024178155 VA Primary

Addresses

Primary practice location

3930 Walnut St Ste 101
Fairfax, VA 22030-4750

Mailing address

3930 Walnut St Ste 101
Fairfax, VA 22030-4750
Phone (703) 246-9246

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
I20191107001204 DC Practitioner - Nurse Practitioner 4486086725 Reassigns benefits to 1 organization
I20191114000006 VA Practitioner - Nurse Practitioner 4486086725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Internal Medicine IncGroup PAC ID 4082869250, 101 clinicians

Practice addresses (Care Compare)

41816 Fenway Cir
Ashburn, VA 20148-8069
Phone (347) 761-7200

9640 Burke Lake Rd
Burke, VA 22015-3022
Phone (703) 425-9765

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
79.46
Improvement activities
40
Cost
66.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Nephrology Group, LLP CurrentSince Oct 1, 2025 Accepting new patients
Virginia Internal Medicine Inc CurrentSince Oct 1, 2019 Accepting new patients

Locations

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

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

10701 Main St
Fairfax, VA 22030
Phone (703) 273-7705

3930 Walnut St
Ste 101
Fairfax, VA 22030
Phone (703) 246-9246

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

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

14000 Crown Ct
Ste 110
Woodbridge, VA 22193
Phone (703) 361-7341

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1740838978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 WALNUT ST STE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304750",
            "telephone_number": "703-246-9246",
            "fax_number": "703-246-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 WALNUT ST STE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304750",
            "telephone_number": "703-246-9246",
            "fax_number": "703-246-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LAS ALAS",
        "first_name": "NICOLE",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.