ANGELA ANN FASANELLA (FNP-BC) – Family Nurse Practitioner, NPI 1043768682
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for ANGELA ANN FASANELLA (FNP-BC)
9009 Silverbrook Rd
Fairfax Station, VA 220392607
Phone: (866) 389-2727
Type: Location
14904 Jefferson Davis Hwy Ste 208
Woodbridge, VA 22191
Phone: (703) 224-9999
Fax: (571) 384-6702
Type: Location
14904 JEFFERSON DAVIS HWY STE 208
WOODBRIDGE, VA 221913908
Phone: (703) 224-9999
Fax: (571) 384-6702
Type: Mailing
17739 MAIN ST STE 110
DUMFRIES, VA 220263256
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $77.
Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.
Last reported payment date: 2024-02-15 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($33).
Total Amount
$77
General + Research + Ownership
Payments
3
Total payment records
General Amount
$77
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $33 |
| Organon LLC | $24 |
| PFIZER INC. | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-11-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190401000093 | I | Nurse Practitioner | VA | TBD |
| I20201116002016 | I | Nurse Practitioner | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22039)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | VA | |
| Nurse Practitioner | VA | |
| - | MI | |
| - | VA | |
| - | VA | |
| Pulmonary Disease, Internal Medicine | GA | |
| N E U R O L O G Y | VA | |
| Physician Assistant | VA | |
| - | VA | |
| Family Practice | VA |
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