Active NPI
Brittany Lynn Oates, PA-C
- Physician Assistant
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110004202
- Practice address
- 1850 Town Center Pkwy
Suite 400
Reston, VA 20190-3219 - Phone
- (703) 810-5202
- Fax
- (703) 810-5420
- NPI assigned
- Oct 20, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 10001349A | IN | |
| Physician Assistant | 363A00000X | 0110004202 | VA | Primary |
Addresses
Primary practice location
1850 Town Center Pkwy
Suite 400
Reston, VA 20190-3219
Mailing address
PO Box 75420
Baltimore, MD 21275-5420
Phone (703) 383-6469
Other names 1
- Brittany L Banic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250121000645 | IL | Practitioner - Physician Assistant | 3779757984 | Reassigns benefits to 1 organization |
| I20250320001591 | MO | Practitioner - Physician Assistant | 3779757984 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 S Big Bend Blvd
Saint Louis, MO 63117-1605
Phone (314) 961-2255
1090 N Hwy 67 St
Florissant, MO 63031-4720
Phone (314) 961-2255
1103 Central Park Dr
O Fallon, IL 62269-1770
Phone (618) 215-5703
12409 Saint Charles Rock Rd
Bridgeton, MO 63044-2507
Phone (314) 961-2255
2060 Hampton Ave
Saint Louis, MO 63139-2903
Phone (314) 961-2255
3114 S Grand Blvd
Saint Louis, MO 63118-1012
Phone (314) 961-2255
3909 Mexico Rd
Saint Peters, MO 63376-6408
Phone (314) 961-2255
400 Beltline Rd
Collinsville, IL 62234-4405
Phone (618) 215-5703
4318 Loughborough Ave
Saint Louis, MO 63116-2104
Phone (314) 961-2255
6900 Chippewa St
Saint Louis, MO 63109-3038
Phone (314) 961-2255
7816 Big Bend Blvd
Webster Groves, MO 63119-2702
Phone (314) 961-2255
8213 Delmar Blvd
Saint Louis, MO 63124-2104
Phone (314) 961-2255
8961 Page Ave
Overland, MO 63114-6104
Phone (314) 961-2255
9538 Gravois Rd
Affton, MO 63123-4558
Phone (314) 961-2255
9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110004202 | VA | MD | Physician Assistant |
| 10001349A | IN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Access Urgent Care, PC | Current | Accepting new patients | |
| Total Access Urgent Care, PC | Current | Accepting new patients | |
| Commonwealth Orthopaedics & Rehabilitation, PC | Past | Accepting new patients |
Locations
400 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703
1103 Central Park Dr
O Fallon, IL 62269
Phone (618) 215-5703
9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740
1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950
13861 Manchester Rd
Wildwood, MO 63011
Phone (636) 220-9333
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1952729402
-
- Orthopaedic Surgery Physician
- Fairfax, VA
- NPI 1295829893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436140800000",
"number": "1962787044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75420",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212755420",
"telephone_number": "703-383-6469",
"fax_number": "703-385-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 TOWN CENTER PKWY",
"address_2": "SUITE 400",
"city": "RESTON",
"state": "VA",
"postal_code": "201903219",
"telephone_number": "703-810-5202",
"fax_number": "703-810-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OATES",
"first_name": "BRITTANY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2015-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IN",
"license": "10001349A",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110004202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "BANIC",
"middle_name": "L",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.