Individual provider Active NPI

Melissa Joi Wisner, M.D.

  • Family Medicine Physician
  • Ashburn, VA
National Provider Identifier
1790003598
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101253956 Issued in VA
Practice address
44095 Pipeline PLZ
Suite 370
Ashburn, VA 20147-5898
Phone
(703) 858-3140
Fax
(571) 223-3242
NPI assigned
May 4, 2010
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101253956 VA Primary

Addresses

Primary practice location

44095 Pipeline PLZ
Suite 370
Ashburn, VA 20147-5898

Mailing address

44095 Pipeline PLZ
Suite 370
Ashburn, VA 20147-5898
Phone (703) 858-3140

Other practice location 1

601 Potomac Station Dr NE
Leesburg, VA 20176-1816
Phone (703) 840-1396

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirstclinics.com Health Information Exchange (HIE)

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130725000028 DC Practitioner - Family Practice 5698916245 Reassigns benefits to 3 organizations
I20140617002041 VA Practitioner - Family Practice 5698916245 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

601 Potomac Station Dr
Leesburg, VA 20176-1816
Phone (703) 840-1396

6311 Richmond Hwy
Alexandria, VA 22306-6410
Phone (703) 647-6087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC Family Medicine CurrentSince Aug 5, 2013 Accepting new patients
Inova Health Care Services CurrentSince Apr 14, 2014 Accepting new patients
Patient First Richmond Medical Group PLLC Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Patient First Richmond Medical Group PLLC Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Apr 14, 2014 Accepting new patients
Inova Health Care Services Current Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

44095 Pipeline Plz
Ste 370
Ashburn, VA 20147
Phone (571) 623-3500

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

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

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

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Interoperability endpoints

  • Direct secure messaging: vaexchange@patientfirstclinics.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.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1790003598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44095 PIPELINE PLZ",
            "address_2": "SUITE 370",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475898",
            "telephone_number": "703-858-3140",
            "fax_number": "571-223-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44095 PIPELINE PLZ",
            "address_2": "SUITE 370",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475898",
            "telephone_number": "703-858-3140",
            "fax_number": "571-223-3242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Potomac Station Dr NE",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201761816",
            "country_code": "US",
            "telephone_number": "703-840-1396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISNER",
        "first_name": "MELISSA",
        "middle_name": "JOI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101253956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "601 Potomac Station Dr NE",
            "city": "Leesburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201761816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.