Individual provider Active NPI

Michelle K Wrieden, FNP-BC

  • Family Nurse Practitioner
  • Dale City, VA
National Provider Identifier
1790475879
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186361 Issued in VA
Practice address
14010 Smoketown Rd
Dale City, VA 22193
Phone
(703) 580-0181
NPI assigned
May 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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 0024186361 VA Primary

Addresses

Primary practice location

14010 Smoketown Rd
Dale City, VA 22193

Mailing address

14010 Smoketown Road
Dale City, VA 22193
Phone (703) 580-0181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20231207000033 VA Practitioner - Nurse Practitioner 8426407156 Reassigns benefits to 1 organization
I20231208002961 DC Practitioner - Nurse Practitioner 8426407156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Associates of Northern Virginia, LLCGroup PAC ID 1759371008, 98 clinicians

Practice addresses (Care Compare)

14010 Smoketown Rd
Suite 117
Woodbridge, VA 22192-4723
Phone (703) 580-0181

1800 N Beauregard St
Suite 200
Alexandria, VA 22311-1725
Phone (703) 823-3750

3022 Williams Dr
Suite 301
Fairfax, VA 22031-4600
Phone (703) 698-8960

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.52 of 100Reported as group
Quality
56.13
Promoting interoperability
98
Improvement activities
40
Cost
80.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024186361VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Northern Virginia, LLC CurrentSince Jan 2, 2024 Accepting new patients
Old Dominion Anesthesia LLC Past Accepting new patients

Locations

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

3022 Williams Dr
Ste 301
Fairfax, VA 22031
Phone (703) 698-1775

8140 Ashton Ave
Ste 212
Manassas, VA 20109
Phone (703) 365-9085

24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400

14010 Smoketown Rd
Ste 117
Woodbridge, VA 22192
Phone 7035800181135

Interoperability endpoints

  • Direct secure messaging: michelle.wrieden@gastrohealth.eclinicaldirectplus.com

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.

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": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1790475879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14010 SMOKETOWN ROAD",
            "city": "DALE CITY",
            "state": "VA",
            "postal_code": "22193",
            "telephone_number": "703-580-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14010 SMOKETOWN RD",
            "city": "DALE CITY",
            "state": "VA",
            "postal_code": "22193",
            "telephone_number": "703-580-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIEDEN",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dale City, VA

Sources for this page

Verify at the official NPI Registry.