Individual provider Active NPI

Marissa Victoria Mitrovic, FNP-BC

  • Family Nurse Practitioner
  • Warrenton, VA
National Provider Identifier
1992646343
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024196116 Issued in VA
Practice address
75 W Lee Hwy
Warrenton, VA 20186-2149
Phone
(540) 351-0662
NPI assigned
Apr 1, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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 0024196116 VA Primary

Addresses

Primary practice location

75 W Lee Hwy
Warrenton, VA 20186-2149

Mailing address

13123 Cross Keys CT
Fairfax, VA 22033-1426
Phone (757) 869-8223

Other practice location 1

47 S 3rd St
Warrenton, VA 20186-3304
Phone (540) 833-7003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260422002441 VA Practitioner - Nurse Practitioner 5597232074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

75 W Lee Hwy
Warrenton, VA 20186-2149
Phone (540) 351-0662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024196116VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DMV Urgent Care LLC CurrentSince Mar 11, 2026 Accepting new patients

Locations

75 W Lee Hwy
Warrenton, VA 20186
Phone (540) 347-4757

14900 Potomac Town Pl
Ste 130
Woodbridge, VA 22191
Phone (540) 351-0662

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": "1775001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1992646343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13123 CROSS KEYS CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331426",
            "telephone_number": "757-869-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W LEE HWY",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862149",
            "telephone_number": "540-351-0662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "VA",
            "postal_code": "201863304",
            "country_code": "US",
            "telephone_number": "540-833-7003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITROVIC",
        "first_name": "MARISSA",
        "middle_name": "VICTORIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024196116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.