Individual provider Active NPI

Michelle Laniece Fuselier, M.D.

  • Family Medicine Physician
  • Falls Church, VA
National Provider Identifier
1891872016
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101240825 Issued in VA
Practice address
6305 Castle PL
Suite 1D
Falls Church, VA 22044-1905
Phone
(703) 533-5555
Fax
(703) 533-5596
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101240825 VA Primary
Family Medicine Physician 207Q00000X D0065265 MD

Addresses

Primary practice location

6305 Castle PL
Suite 1D
Falls Church, VA 22044-1905

Mailing address

6305 Castle Place
Suite 1D
Falls Church, VA 22045
Phone (703) 533-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070227000780 MD Practitioner - Family Practice 3779685391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5890 Waterloo Rd
Columbia, MD 21045-2617
Phone (667) 214-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0065265MDMDFamily Medicine Physician
0101240825VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Faculty Physicians Immediate Care, LLC CurrentSince Jul 18, 2016 Accepting new patients
Rackenfuse Health, LLC Past Accepting new patients

Locations

5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603

Interoperability endpoints

  • Direct secure messaging: mfuselier471762@direct.umm.edu

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1891872016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 CASTLE PLACE",
            "address_2": "SUITE 1D",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22045",
            "telephone_number": "703-533-5555",
            "fax_number": "703-533-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 CASTLE PL",
            "address_2": "SUITE 1D",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441905",
            "telephone_number": "703-533-5555",
            "fax_number": "703-533-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSELIER",
        "first_name": "MICHELLE",
        "middle_name": "LANIECE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101240825",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0065265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.