Active NPI
Katelyn Wrenn
- Physician Assistant
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110006899
- Practice address
- 44035 Riverside Pkwy Ste 400
Leesburg, VA 20176-8260 - Phone
- (703) 858-5421
- Fax
- (703) 858-9573
- NPI assigned
- Sep 18, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110006899 | VA | Primary |
Addresses
Primary practice location
44035 Riverside Pkwy Ste 400
Leesburg, VA 20176-8260
Mailing address
2901 Telestar CT Ste 300
Falls Church, VA 22042-1263
Phone (703) 591-1688
Other practice location 1
120B N Maple Ave
Purcellville, VA 20132-3180
Phone (703) 723-8664
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kwrenn643134@soc.inova.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 B N Maple Ave
Purcellville, VA 20132-3180
Phone (703) 723-8664
224 A Cornwall St NW
Suite 3.024
Leesburg, VA 20176-2701
Phone (703) 771-2837
224 B Cornwall NWST
Leesburg, VA 20176-2701
224 Cornwall St NW
Leesburg, VA 20176-2701
Phone (703) 771-2894
44035 Riverside Pkwy
Leesburg, VA 20176-8260
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110006899 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc. | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc. | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2901 Telestar Ct
Ste 300
Falls Church, VA 22042
Phone (703) 591-1688
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300
44035 Riverside Pkwy
Ste 400
Leesburg, VA 20176
Phone (703) 858-5421
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
120B N Maple Ave
Purcellville, VA 20132
Phone (703) 723-8664
11800 Sunrise Valley Dr
Ste 225
Reston, VA 20191
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
1880 Amherst St
Ste 100
Winchester, VA 22601
Phone (540) 662-0306
220 Campus Blvd
Ste 100
Winchester, VA 22601
Organizations & group practices 10
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.
-
- Surgery Physician
- Winchester, VA
- NPI 1538316203
-
- Critical Care Medicine (Internal Medicine) Physician
- Winchester, VA
- NPI 1679711261
-
- Urgent Care Clinic/Center
- Vienna, VA
- NPI 1275886418
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Obstetrics & Gynecology Physician
- Winchester, VA
- NPI 1255222535
-
- Pulmonary Disease Physician
- Winchester, VA
- NPI 1578021317
-
- Pediatrics Physician
- Winchester, VA
- NPI 1013874742
-
- Pulmonary Disease Physician
- Winchester, VA
- NPI 1336951581
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1922658194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 TELESTAR CT STE 300",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421263",
"telephone_number": "703-591-1688",
"fax_number": "703-591-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44035 RIVERSIDE PKWY STE 400",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201768260",
"telephone_number": "703-858-5421",
"fax_number": "703-858-9573"
}
],
"practiceLocations": [
{
"address_1": "120B N Maple Ave",
"address_purpose": "LOCATION",
"city": "Purcellville",
"state": "VA",
"postal_code": "201323180",
"country_code": "US",
"telephone_number": "703-723-8664",
"fax_number": "703-226-5696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRENN",
"first_name": "KATELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-18",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110006899",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kwrenn643134@soc.inova.org",
"affiliation": "N",
"address_1": "44035 Riverside Pkwy Ste 400",
"city": "Leesburg",
"state": "VA",
"country_code": "US",
"postal_code": "201768260",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.