Individual provider Active NPI

Felicia E Wisenyuy, FNP

  • Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1871203349
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024185774 Issued in VA
Practice address
8575 Rixlew LN
Manassas, VA 20109-3701
Phone
(301) 593-1315
NPI assigned
Nov 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024185774 VA Primary

Addresses

Primary practice location

8575 Rixlew LN
Manassas, VA 20109-3701

Mailing address

2084 Mourning Dove Dr
Locust Grove, VA 22508-3118

Other identifiers 1

IdentifierTypeStateIssuer
0024185774OtherVABOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230110000180 VA Practitioner - Nurse Practitioner 9537539549 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriatric Associates of Richmond IncGroup PAC ID 4789026071, 22 clinicians

Practice addresses (Care Compare)

5310 Twin Hickory Rd
Glen Allen, VA 23059-5783
Phone (804) 714-6291

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Associates of Richmond Inc CurrentSince Jan 1, 2025 Accepting new patients
Rapidan Medical Center CurrentSince Feb 28, 2024 Accepting new patients
Comprehensive Rehab Consultants PLLC Nurse Practitioner CurrentSince Dec 1, 2022 Accepting new patients
Psychogeriatric Services LLC Nurse Practitioner CurrentSince Aug 1, 2024 Accepting new patients
Express Med Urgent Care Center, Inc Family Medicine PastSince Jan 1, 2025 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

173 Brockman Park Dr
Amherst, VA 24521
Phone (434) 841-2004

5310 Twin Hickory Rd
Glen Allen, VA 23059
Phone (804) 360-4242

4444 Germanna Hwy
Ste 310
Locust Grove, VA 22508
Phone (540) 972-6222

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

Organizations & group practices 5

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": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1871203349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 MOURNING DOVE DR",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225083118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 RIXLEW LN",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093701",
            "telephone_number": "301-593-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISENYUY",
        "first_name": "FELICIA",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-25",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024185774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "0024185774",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.