Individual provider Active NPI

Kirsten Martin Goetz, MSN, APRN, FNP-BC

  • Nurse Practitioner
  • Vienna, VA
National Provider Identifier
1750857496
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024176764 Issued in VA
Practice address
8357 Leesburg Pike
Vienna, VA 22182-2493
Phone
(571) 665-6440
NPI assigned
Oct 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024176764 VA
Nurse Practitioner 363L00000X 0024176764 VA Primary

Addresses

Primary practice location

8357 Leesburg Pike
Vienna, VA 22182-2493

Mailing address

8357 Leesburg Pike
Vienna, VA 22182-2493
Phone (571) 665-6440

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kgoetz662839@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

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
I20190226001237 DC Practitioner - Nurse Practitioner 8123367711 Reassigns benefits to 2 organizations
I20190311002795 VA Practitioner - Nurse Practitioner 8123367711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Miami, LM Miller School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians

Practice addresses (Care Compare)

24801 Pinebrook Rd
Suite 110
Chantilly, VA 20152-4113
Phone (703) 722-2500

8357 Leesburg Pike
Vienna, VA 22182-2493
Phone (571) 665-6400

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
Quality
84.42
Promoting interoperability
100
Improvement activities
40
Cost
77.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Dec 16, 2019 Accepting new patients
Inova Health Care Services CurrentSince Dec 16, 2019 Accepting new patients
Inova Ucc LLC CurrentSince Nov 15, 2022 Accepting new patients
Inova Health Care Services CurrentSince Dec 16, 2019 Accepting new patients

Locations

6218 N Kings Hwy
Alexandria, VA 22303

20070 Ashbrook Commons Plz
Ashburn, VA 20147
Phone (571) 223-0517

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

7637 Linton Hall Rd
Gainesville, VA 20155
Phone (703) 743-7000

2425 Centreville Rd
Ste 7
Herndon, VA 20171
Phone (571) 376-4000

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

6230 Rolling Rd
Ste J
Springfield, VA 22152
Phone (571) 665-6460

8357 Leesburg Pike
Vienna, VA 22182
Phone (571) 665-6400

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

Interoperability endpoints

  • Direct secure messaging: kgoetz662839@soc.inova.org

Organizations & group practices 4

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": "1540080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1750857496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8357 LEESBURG PIKE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822493",
            "telephone_number": "571-665-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8357 LEESBURG PIKE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822493",
            "telephone_number": "571-665-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "KIRSTEN",
        "middle_name": "MARTIN",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-21",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176764",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024176764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgoetz662839@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8357 Leesburg Pike",
            "city": "Vienna",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221822493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.