Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NOELLE RENEE ANDERSON DNP, FNP-BC
NPI 1124943279
Nurse Practitioner - Family in Reston, VA

Q: What is Noelle Anderson's NPI number?

The NPI number for Noelle Anderson is 1124943279. It was assigned to this individual provider in the NPPES registry on August 10, 2026.

Q: What is Noelle Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Noelle Anderson was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.

Active since August 10, 2026PECOS Enrolled

11160 S LAKES DR, RESTON, VA 20191(703) 424-1193 Get Directions Write a Review

NPPES record added: August 10, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Noelle Renee Anderson Dnp, Fnp-bc NPPES

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

NOELLE RENEE ANDERSON DNP, FNP-BC (NPI 1124943279) is an individual family provider in Reston, Virginia, licensed in Virginia (0024198026) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124943279

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNOELLE RENEE ANDERSONCredential: DNP, FNP-BC

Location Address11160 S LAKES DRReston, VA 20191-4327

Mailing Address11160 S Lakes DrReston, VA 20191-4327 · (703) 424-1193

Phone(703) 424-1193

Sole ProprietorNo

Enumeration DateAugust 10, 2026

NPPES CertifiedAugust 10, 2026

✔ NPI 1124943279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024198026

11160 S LAKES DR, Reston, VA 20191

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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)

Noelle Renee Anderson Dnp, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20191 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

KRISTINA KANG

Pharmacist