MISS ALMAZ ASSEFAW – Psychiatric/Mental Health Nurse Practitioner, NPI 1275830192
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for MISS ALMAZ ASSEFAW
9300 DeWitt Loop
Fort Belvoir, VA 220605285
Phone: (571) 231-3224
Type: Location
12826 Owens Glen Dr
Fairfax, VA 220308252
Phone: (202) 818-8656
Type: Location
6 JFK ST
CAMBRIDGE, MA 021384909
Phone: (617) 354-4420
Type: Location
100 MEMORIAL DR APT 2-14C
CAMBRIDGE, MA 021421326
Phone: (703) 589-8631
Type: Mailing
1110 BONIFANT ST STE 201F
SILVER SPRING, MD 209103358
Phone: (202) 818-8656
Fax: (202) 818-8656
Type: Location
12826 OWENS GLEN DR
FAIRFAX, VA 220308252
Phone: (202) 818-8656
Fax: (202) 818-8656
Type: Mailing
13031 LEE JACKSON HWY
FAIRFAX, VA 220332050
Phone: (703) 378-7550
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-12-20
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 |
|---|---|---|---|---|
| I20111122000490 | I | Nurse Practitioner | DC | TBD |
| I20111220000532 | I | Nurse Practitioner | VA | 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 22060)
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