Individual provider Active NPI

Marena Lynne Shaw, NP-C

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1932332889
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168416 Issued in VA
Practice address
8505 Arlington Blvd Ste 200
Fairfax, VA 22031-4630
Phone
(703) 698-8525
Fax
(703) 698-8527
NPI assigned
Aug 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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 0024168416 VA Primary

Addresses

Primary practice location

8505 Arlington Blvd Ste 200
Fairfax, VA 22031-4630

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (703) 383-4836

Other practice location 1

9401 Lee Hwy Ste 400
Fairfax, VA 22031-1847
Phone (703) 383-4836

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mshaw26173@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

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
I20101014000079 DC Practitioner - Nurse Practitioner 8224220843 Reassigns benefits to 2 organizations
I20150422000249 VA Practitioner - Nurse Practitioner 8224220843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307

3833 Fairfax Dr
Arlington, VA 22203-1773

7619 Little River Tpke
Suite 1000
Annandale, VA 22003-2629
Phone (703) 256-5680

8081 Innovation Park Dr
Fairfax, VA 22031-4867

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jan 1, 2014 Accepting new patients
Inova Health Care Services CurrentSince Jun 1, 2013 Accepting new patients
Inova Health Care Services CurrentSince Jun 1, 2013 Accepting new patients

Locations

400 Fannon St
Fl 3
Alexandria, VA 22301
Phone (571) 665-6480

6355 Walker Ln
Ste 406
Alexandria, VA 22310
Phone (703) 313-0943

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

8101 Hinson Farm Rd
Ste 408
Alexandria, VA 22306
Phone (703) 207-7007

1800 N Beauregard St
Alexandria, VA 22311
Phone (703) 933-2590

611 S Carlin Springs Rd
Ste 201
Arlington, VA 22204
Phone (703) 933-0700

3833 Fairfax Dr
Ste 201
Arlington, VA 22203
Phone (703) 351-9424

3263 Columbia Pike
Arlington, VA 22204
Phone (703) 746-0111

21785 Filigree Ct
Ste 203
Ashburn, VA 20147
Phone (703) 554-1100

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

8505 Arlington Blvd
Ste 20
Fairfax, VA 22031

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

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

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

8988 Lorton Station Blvd
Ste 200
Lorton, VA 22079

8650 Sudley Rd
Ste 303
Manassas, VA 20110
Phone (703) 361-3551

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

14605 Potomac Branch Dr
Ste 210
Woodbridge, VA 22191
Phone (703) 620-3211

14349 Gideon Dr
Fl 2
Woodbridge, VA 22192
Phone (571) 472-8760

Interoperability endpoints

  • Direct secure messaging: mshaw26173@soc.inova.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1932332889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "703-383-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 ARLINGTON BLVD STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314630",
            "telephone_number": "703-698-8525",
            "fax_number": "703-698-8527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9401 Lee Hwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220311847",
            "country_code": "US",
            "telephone_number": "703-383-4836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MARENA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mshaw26173@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8505 Arlington Blvd Ste 200",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220314630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.