MISS LOREN ANNE RAY TYSON (NURSE PRACTITIONER) – Nurse Practitioner, NPI 1295724276
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MISS LOREN ANNE RAY TYSON (NURSE PRACTITIONER)
3600 Joseph Siewick Dr
Fairfax, VA 220331709
Phone: (703) 391-3600
Type: Location
6168, Martins Landing Court, Martins Landing, Burke Centre, Fairfax County, Virginia, 22015, United States
BURKE, VA 220152563
Phone: (201) 232-5162
Type: Mailing
Arlington Boulevard, Lee Boulevard Heights, Seven Corners, Fairfax County, Virginia, 22031, United States
INOVA CARDIAC DIAGNOSTIC SERVICES
FAIRFAX, VA 22031
Phone: (201) 232-5162
Type: Location
10527 REEDS LANDING CIR
BURKE, VA 220152513
Phone: (201) 232-5162
Fax: (703) 289-4612
Type: Mailing
8280 WILLOW OAKS CORPORATE DR STE 100
FAIRFAX, VA 220314517
Phone: (703) 269-3270
Fax: (703) 269-3271
Type: Location
8505 Arlington Blvd, Suite 320
Inova Cardiac Diagnostic Services
Fairfax, VA 22031
Phone: (201) 232-5162
Type: Location
3600 JOSEPH SIEWICK DR
FAIRFAX, VA 220331709
Phone: (703) 391-3600
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: 2015-06-17
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 |
|---|---|---|---|---|
| I20150617002968 | 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 22033)
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