Individual provider Active NPI

Jenna Hurt, FNP-BC

  • Family Nurse Practitioner
  • Gainesville, VA
National Provider Identifier
1750808085
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175273 Issued in VA
Practice address
7501 Heritage Village PLZ
Gainesville, VA 20155-3078
Phone
(571) 248-6100
NPI assigned
Aug 28, 2017
Last updated
Aug 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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 0024175273 VA Primary

Addresses

Primary practice location

7501 Heritage Village PLZ
Gainesville, VA 20155-3078

Mailing address

14186 Wyngate Dr
Gainesville, VA 20155-1125
Phone (813) 451-1623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20171010000001 VA Practitioner - Nurse Practitioner 6800161373 Reassigns benefits to 1 organization
I20180205000209 DC Practitioner - Nurse Practitioner 6800161373 Reassigns benefits to 1 organization
I20220817000032 MD Practitioner - Nurse Practitioner 6800161373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024175273VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Internal Medicine Inc CurrentSince Aug 30, 2017 Accepting new patients
Virginia Internal Medicine, PC and Urgent Care Services, Inc. Past Accepting new patients

Locations

141 S Main St
Boonsboro, MD 21713
Phone (301) 432-5457

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

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

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

7501 Heritage Village Plz
Gainesville, VA 20155
Phone (571) 248-6100

8575 Rixlew Ln
Manassas, VA 20109
Phone (703) 257-9770

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": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1750808085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14186 WYNGATE DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551125",
            "telephone_number": "813-451-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 HERITAGE VILLAGE PLZ",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553078",
            "telephone_number": "571-248-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURT",
        "first_name": "JENNA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.