Individual provider Active NPI

David Patterson, CRNA

  • Certified Registered Nurse Anesthetist
  • Manassas, VA
National Provider Identifier
1992312672
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
135177 Issued in VA
Practice address
8892 Bond CT
Manassas, VA 20110-4327
Phone
(703) 965-3537
NPI assigned
Sep 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001241110 VA
Certified Registered Nurse Anesthetist 367500000X 135177 VA Primary

Addresses

Primary practice location

8892 Bond CT
Manassas, VA 20110-4327

Mailing address

8892 Bond CT
Manassas, VA 20110-4327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210621000829 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608276126 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outpatient Anesthesia Services of Reston, LTDGroup PAC ID 2769479880, 36 clinicians

Practice addresses (Care Compare)

1860 Town Ctr Dr
Suite G100
Reston, VA 20190-5897
Phone (703) 471-0919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
135177VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Anesthesia Services of Reston, LTD CurrentSince Mar 2, 2024 Accepting new patients
Ambulatory Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 13, 2021 Accepting new patients
Northstar Anesthesia of Virginia, LLC CurrentSince May 1, 2022 Accepting new patients

Locations

6355 Walker Ln
Ste 200
Alexandria, VA 22310
Phone (703) 922-9501

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

1860 Town Center Dr
Ste G100
Reston, VA 20190
Phone (703) 433-8700

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.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1992312672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8892 BOND CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8892 BOND CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104327",
            "telephone_number": "703-965-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "DAVID",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-28",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001241110",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "135177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.