ELLA HYESEUNG JO – Student in an Organized Health Care Education/Training Program, NPI 1396497178
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for ELLA HYESEUNG JO
12260 WINSCOMBE TER
FAIRFAX, VA 220306164
Phone: (703) 606-3824
Type: Mailing
PO BOX 3250
WINCHESTER, VA 226042450
Phone: (703) 673-4490
Fax: (540) 678-9025
Type: Mailing
19441 GOLF VISTA PLZ STE 230
LEESBURG, VA 201768271
Phone: (703) 729-3420
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: 2023-03-24
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 |
|---|---|---|---|---|
| I20230324000762 | I | Nurse Practitioner | VA | TBD |
| I20230324001387 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 356 | 190 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 149 | 123 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 51 | 45 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 48 | 42 | $0 |
Insurance plans in this area (ZIP 22030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | TX | |
| Physician Assistant | WI | |
| Nurse Practitioner | VA | |
| Internal Medicine | DC | |
| Pediatric Medicine | FL | |
| Pulmonary Disease, Pediatric Medicine, Family Practice, Sleep Medicine, Pediatric Medicine | FL | |
| Internal Medicine | VA | |
| Physician Assistant | MD | |
| Sleep Medicine, Internal Medicine | VA | |
| Family Practice | VA |
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