PHENORIES MASSENBURG
NPI 1013765239
Registered Nurse in Alexandria, VA

Q: What is Phenories Massenburg's NPI number?

The NPI number for Phenories Massenburg is 1013765239. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Q: What is Phenories Massenburg's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Active since May 13, 2024PECOS Enrolled

4850 MARK CENTER DR, ALEXANDRIA, VA 22311(703) 746-3400 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Phenories Massenburg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHENORIES MASSENBURG (NPI 1013765239) is an individual registered nurse in Alexandria, Virginia, licensed in Virginia (0001146528) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1013765239

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NamePHENORIES MASSENBURG

Location Address4850 MARK CENTER DRAlexandria, VA 22311-1882

Mailing Address4850 Mark Center Dr Fl 9Alexandria, VA 22311-1882 · (703) 746-3444

Phone(703) 746-3400

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateMay 13, 2024

NPPES CertifiedMay 10, 2024

✔ NPI 1013765239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in VA · 0001146528

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

4850 MARK CENTER DR, Alexandria, VA 22311

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phenories Massenburg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961907126

PECOS Enrollment IDI20250926002965

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN E FRUTOS LCSW

Social Worker (Clinical)