TARYN C THIBEAULT (FNP) – Family Nurse Practitioner, NPI 1295935559

TARYN C THIBEAULT (FNP) is a healthcare provider. based in Fairfax, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 0024167430 (VA). The NPI Number for TARYN C THIBEAULT (FNP) is 1295935559

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
TARYN C THIBEAULT (FNP)
NPI
1295935559
Phone
(186) 638-9272
Address
10301 NEW GUINEA RD
Enumeration Date
24 July 2007
Last Update Date
28 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
8663892727
Graduation Year
2006 (20 years ago)
PAC ID
7315259801
Group Practice PAC ID
6709960891
Professional Enrollment ID
I20150804003350
Address ID
VA201862600WA510XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

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Provider Addresses for TARYN C THIBEAULT (FNP)

  • Target, 10301, New Guinea Road, Burke Centre, Burke, Fairfax, Virginia, 22015-2805, United States

    FAIRFAX, VA 220323268

    Phone: (186) 638-9272

    Type: Location

  • 6314, Buffie Court, Five Forks, Burke, Fairfax, Virginia, 22015, United States

    BURKE, VA 220153401

    Phone: (703) 455-5052

    Type: Mailing

  • 13031 LEE JACKSON HWY

    FAIRFAX, VA 220332050

    Phone: (866) 389-2727

    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: 2015-08-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150713001170INurse PractitionerDCTBD
I20150804003350INurse PractitionerVATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1818$0
G0008Administration of influenza virus vaccine1515$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage1414$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 22032)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709960891View full group profile

Reviews

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Frequently asked questions

Can I verify TARYN C THIBEAULT (FNP) with an NPI only?
You can start verification with NPI 1295935559 for TARYN C THIBEAULT (FNP), then check state licensing separately.
Does CMS list TARYN C THIBEAULT (FNP) as active?
Yes — TARYN C THIBEAULT (FNP) is active in the NPI listing used on this page.
What taxonomy line describes TARYN C THIBEAULT (FNP)?
For research purposes, treat TARYN C THIBEAULT (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is TARYN C THIBEAULT (FNP) based?
TARYN C THIBEAULT (FNP) is tied to Fairfax, Virginia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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