TRACI ANNETTA MARIN CNM
NPI 1053692343
Advanced Practice Midwife in Dulles, VA
About Traci Annetta Marin Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACI ANNETTA MARIN CNM (NPI 1053692343) is an individual advanced practice midwife in Dulles, Virginia, licensed in Virginia (0024169463) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Traci Annetta Marin Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Traci Marin reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dulles, VA 20166
- Reassigned Medicare billing, Virginia enrollment
- 291 clinicians in this Medicare group
Falls Church, VA 22042
- Reassigned Medicare billing, District of Columbia enrollment
- 18 clinicians in this Medicare group
Arlington, VA 22203
- Reassigned Medicare billing, District of Columbia enrollment
- 1,534 clinicians in this Medicare group
Mechanicsville, VA 23116
- Reassigned Medicare billing, Virginia enrollment
- 63 clinicians in this Medicare group
Midlothian, VA 23114
- Reassigned Medicare billing, Virginia enrollment
- 315 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20166 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DULLES, VA 20166
DULLES, VA 20166
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Traci Marin's NPI number?
The NPI number for Traci Marin is 1053692343. It was assigned to this individual provider in the NPPES registry on August 31, 2011.
Where is Traci Marin located?
Traci Marin practices at 24430 Stone Springs Blvd., Suite 475, Dulles, VA 20166. The listed phone number is (703) 957-1245.
What is Traci Marin's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Traci Marin enrolled in Medicare?
Yes. Traci Marin is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Traci Marin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Traci Marin reassigns Medicare benefits to 5 organizations: Loudoun Medical Group, PC (Dulles, VA), Inova Health Care Services (Falls Church, VA), Privia Medical Group, LLC (Arlington, VA), Dominion Women's Health, Inc. (Mechanicsville, VA) and Obhg Virginia, LLC (Midlothian, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Traci Marin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Traci Marin accept?
Health plans from Oscar Health list Traci Marin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Traci Marin was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Traci Annetta Marin, CNM · NPI 1053692343
Advanced Practice Midwife physician in Dulles, Virginia. Individual provider, active in the CMS NPPES registry since August 31, 2011.
## Identity
- **NPI:** 1053692343 (Entity type: Individual)
- **Enumerated:** August 31, 2011
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** 0024169463 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 24430 STONE SPRINGS BLVD., SUITE 475, Dulles, VA 20166-2272
- **Phone:** (703) 957-1245
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Loudoun Medical Group, PC (NPI 1891819298, Dulles, VA); Inova Health Care Services (NPI 1952320061, Falls Church, VA); Privia Medical Group, LLC (NPI 1013042480, Arlington, VA); Dominion Women's Health, Inc. (NPI 1932289592, Mechanicsville, VA); Obhg Virginia, LLC (NPI 1972807394, Midlothian, VA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2024
- **Other identifiers:** Medicaid 30016037770003 (VA); Medicaid 1053692343 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1053692343) · Data from the CMS NPPES public registry.