Individual provider Active NPI

Sarah Cabrisses

  • Physician Assistant
  • Reston, VA
National Provider Identifier
1891153946
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110-005211 Issued in VA
Practice address
1801 Robert Fulton Dr
Reston, VA 20191-5461
Phone
(703) 860-1818
NPI assigned
Feb 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110-005211 VA Primary

Addresses

Primary practice location

1801 Robert Fulton Dr
Reston, VA 20191-5461

Mailing address

23417 Morning Walk Dr
Ashburn, VA 20148-5715
Phone (571) 926-2504

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
I20160608000561 DC Practitioner - Physician Assistant 6901196625 Reassigns benefits to 1 organization
I20210202000236 VA Practitioner - Physician Assistant 6901196625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Dermatology PCGroup PAC ID 8527131788, 7 clinicians

Practice addresses (Care Compare)

44121 Leesburg Pike
Suite 210
Ashburn, VA 20147-5667
Phone (703) 726-0070

Merit-based Incentive Payment System (MIPS)

Final score
80.14 of 100Reported as group
Quality
58.33
Improvement activities
40
Cost
89.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110-005211VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Laser Surgery Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Maryland Surgical Care PC Past Accepting new patients

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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1891153946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23417 MORNING WALK DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201485715",
            "telephone_number": "571-926-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 ROBERT FULTON DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915461",
            "telephone_number": "703-860-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRISSES",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-005211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.