TRINITY FAMILY PRACTICE LLC
NPI 1144955261
Nurse Practitioner - Family in Centreville, VA

Active since July 21, 2022CLIA 49D2286788 · Waiver
14260R CENTREVILLE SQ, CENTREVILLE, VA 20121(571) 361-7881 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Trinity Family Practice Llc NPPES

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

TRINITY FAMILY PRACTICE LLC (NPI 1144955261) is a healthcare organization registered as a family in Centreville, Virginia and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through August 2, 2027 and lists Blessy Sebastian, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1144955261
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTRINITY FAMILY PRACTICE LLC
Location Address14260R CENTREVILLE SQCentreville, VA 20121-2364
Mailing Address14260r Centreville SqCentreville, VA 20121-2364 · (571) 361-7881
Organization SubpartNo
Authorized OfficialBlessy SebastianOwner Of Entity · (571) 361-7881
Enumeration DateJuly 21, 2022
NPPES CertifiedJuly 21, 2022
✔ NPI 1144955261 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
14260R CENTREVILLE SQ, Centreville, VA 20121

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trinity Family Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Trinity Family Practice LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1639813835
24795 PINEBROOK RD
Chantilly, VA 20152
(703) 542-7691
✔ PECOS✔ Accepts Medicare8.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2286788

Trinity Family Practice · Centreville, VA
Active · expires Aug 2, 2027
CLIA Number49D2286788
Laboratory TypePhysician Office
Certificate Effective DateAugust 3, 2025
Certificate Expiration DateAugust 2, 2027
Laboratory DirectorBlessy Sebastian
Laboratory Phone(571) 459-2640
Laboratory LocationTrinity Family Practice14260R Centreville Sq, Centreville, VA 20121
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Trinity Family Practice LLC's NPI number?

The NPI number for Trinity Family Practice LLC is 1144955261. It was assigned to this organization in the NPPES registry on July 21, 2022.

Where is Trinity Family Practice LLC located?

Trinity Family Practice LLC is located at 14260R Centreville Sq, Centreville, VA 20121. The listed phone number is (571) 361-7881.

What is Trinity Family Practice LLC's specialty?

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

Is Trinity Family Practice LLC enrolled in Medicare?

Yes. Trinity Family Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trinity Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Trinity Family Practice LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Trinity Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2286788) is associated with this NPI, valid through August 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Trinity Family Practice LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.