Individual provider Active NPI

Paulina J Mancoske, DNP, FNP-BC, NP-C

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1891078549
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169626 Issued in VA
Practice address
9404A Main St
Fairfax, VA 22031-4032
Phone
(571) 404-6974
Fax
(571) 404-6975
NPI assigned
Sep 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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 0024169626 VA Primary

Addresses

Primary practice location

9404A Main St
Fairfax, VA 22031-4032

Mailing address

PO Box 791775
Baltimore, MD 21279-1775
Phone (571) 302-5000

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
I20111101000614 DC Practitioner - Nurse Practitioner 2264605526 Reassigns benefits to 2 organizations
I20111111000718 VA Practitioner - Nurse Practitioner 2264605526 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians
Inova Physician Partners LLCGroup PAC ID 2466581772, 258 clinicians

Practice addresses (Care Compare)

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

46000 Ctr Oak PLZ
Suite 190
Sterling, VA 20166-8583
Phone (703) 430-4343

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

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
78.67
Improvement activities
40
Cost
83.65

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Oct 12, 2015 Accepting new patients
Inova Health Care Services CurrentSince Oct 12, 2015 Accepting new patients
Inova Ucc LLC CurrentSince Nov 15, 2022 Accepting new patients
Inova Health Care Services CurrentSince Oct 12, 2015 Accepting new patients
Inova Health Care Services Current 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

9404A Main St
Fairfax, VA 22031
Phone (571) 404-6974

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

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

46000 Center Oak Plz
Ste 190
Sterling, VA 20166
Phone (703) 430-4343

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

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

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

Interoperability endpoints

  • Direct secure messaging: pmancoske193896@soc.inova.org

Organizations & group practices 6

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": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1891078549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791775",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212791775",
            "telephone_number": "571-302-5000",
            "fax_number": "571-302-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9404A MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314032",
            "telephone_number": "571-404-6974",
            "fax_number": "571-404-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCOSKE",
        "first_name": "PAULINA",
        "middle_name": "J",
        "credential": "DNP, FNP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.