PO STORRS (CFNP) – Family Nurse Practitioner, NPI 1447407309
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
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Provider Addresses for PO STORRS (CFNP)
12011, Lee Jackson Memorial Highway, Penderbrook, Fairfax Farms, Fair Oaks, Fairfax (city), Virginia, 22033, United States
SUITE 504
FAIRFAX, VA 220333315
Phone: (703) 391-2031
Fax: (703) 273-3943
Type: Mailing
555, Herndon Parkway, Herndon, Virginia, 20170, United States
SUITE 100
HERNDON, VA 20170
Phone: (703) 481-1505
Fax: (703) 742-8793
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: 2010-07-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20100721000313 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 72 | 54 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 22 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | 13 | $0 |
| G0008 | Administration of influenza virus vaccine | 13 | 13 | $0 |
| G0009 | Administration of pneumococcal vaccine | 13 | 13 | $0 |
Insurance plans in this area (ZIP 22033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MD | |
| Family Practice | VA | |
| Family Practice | OH | |
| - | VA | |
| Family Practice | VA | |
| - | VA | |
| Family Practice | IL | |
| Family Practice | MD | |
| Internal Medicine | VA | |
| Family Practice | VA |
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