Active NPI
Roslyn Kineshia Presley
- Medical Physician Assistant
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110008812
- Practice address
- 1850 Town Center Pkwy Ste 400&303
Reston, VA 20190-3204 - Phone
- (703) 277-2663
- NPI assigned
- Mar 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Medical Physician Assistant | 363AM0700X | 0110008812 | VA | Primary |
Addresses
Primary practice location
1850 Town Center Pkwy Ste 400&303
Reston, VA 20190-3204
Mailing address
13614 Legacy Cir Apt S
Herndon, VA 20171-4711
Phone (804) 605-5753
Other practice location 1
4350 US 421 S
Lillington, NC 27546-6760
Phone (910) 893-1210
Other practice location 2
504 W McNeill St Apt A
Lillington, NC 27546-6508
Phone (804) 605-5753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1510 N 28TH St
Richmond, VA 23223-5311
40 Medical Park Blvd
Petersburg, VA 23805-9289
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.85 of 100
- Quality
- 90.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthovirginia, Inc | Current | Accepting new patients | |
| Orthovirginia, Inc. | Current | Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Current | Accepting new patients |
Locations
6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210
44 Medical Park Blvd
Ste F
Petersburg, VA 23805
Phone (804) 504-4610
1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304
Interoperability endpoints
- rpresley2474356@direct.bsmhealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1477112225
-
dba Bon Secours Orthopedic Specialists
- Durable Medical Equipment & Medical Supplies
- Midlothian, VA
- NPI 1841029287
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
-
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1497007850
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bon Secours - Southside Medical Center
- General Acute Care Hospital
- Petersburg, VA
- NPI 1720623853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1881344307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13614 LEGACY CIR APT S",
"city": "HERNDON",
"state": "VA",
"postal_code": "201714711",
"telephone_number": "804-605-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 TOWN CENTER PKWY STE 400&303",
"city": "RESTON",
"state": "VA",
"postal_code": "201903204",
"telephone_number": "703-277-2663"
}
],
"practiceLocations": [
{
"address_1": "4350 US 421 S",
"address_purpose": "LOCATION",
"city": "Lillington",
"state": "NC",
"postal_code": "275466760",
"country_code": "US",
"telephone_number": "910-893-1210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "504 W McNeill St Apt A",
"address_purpose": "LOCATION",
"city": "Lillington",
"state": "NC",
"postal_code": "275466508",
"country_code": "US",
"telephone_number": "804-605-5753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRESLEY",
"first_name": "ROSLYN",
"middle_name": "KINESHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-27",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110008812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
- Jennifer Poyser, COTA
- Kirin Prakash
- Precision Orthodontics, PC (Orthodontic Precision)
- Premier Health Consultants of Northern Virginia Inc
- Premise Heath of Connecticut Medical PC (Sprint On Site Health Center Reston)
- Monique Regina Preston, LCSW
- Haley Price
- Prime Home Health Care LLC
- Primordial Health Services LLC
- Privia Medical Group, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.