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DR. WIEN MANGUERRA-CASIANO D.O.
NPI 1154855021
Family Medicine in Fairfax, VA

Active since April 17, 2017PECOS Enrolled
11213 LEE HWY STE H, FAIRFAX, VA 22030(703) 372-4429 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2020, Apr 17, 2017 (2 updates tracked since 2017).

About Dr. Wien Manguerra-casiano D.o. NPPES

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

DR. WIEN MANGUERRA-CASIANO D.O. (NPI 1154855021) is an individual family medicine provider in Fairfax, Virginia, licensed in Virginia (0102206330) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154855021
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WIEN MANGUERRA-CASIANOCredential: D.O.
Location Address11213 LEE HWY STE HFairfax, VA 22030-5698
Mailing Address42051 Pepperbush PlStone Ridge, VA 20105-3011
Phone(703) 372-4429
Sole ProprietorYes
Enumeration DateApril 17, 2017
Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2020
✔ NPI 1154855021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0102206330
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11213 LEE HWY STE H, Fairfax, VA 22030
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Other Names 1

Other Name (5)Dr. Wien Manguerra D.o.

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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wien Manguerra-casiano D.o. 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.

Medicare Billing Reassignment

Medicare enrollment records show Wien Manguerra-casiano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Millenium Medical Corp
13 mi
Family Medicine
13168 CENTERPOINTE WAY STE 101
Woodbridge, VA 22193
  • Reassigned Medicare billing, District of Columbia enrollment
  • 34 clinicians in this Medicare group
NPI 1740443183 (703) 730-2000

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 22030 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

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

CAROL MILLER FNP-BC
Nurse Practitioner (Family)
11213 LEE HWY STE H
FAIRFAX, VA 22030
Fairfax City (703) 833-8023

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 Wien Manguerra-casiano's NPI number?

The NPI number for Wien Manguerra-casiano is 1154855021. It was assigned to this individual provider in the NPPES registry on April 17, 2017. The provider is also known as Dr. Wien Manguerra D.O..

Where is Wien Manguerra-casiano located?

Wien Manguerra-casiano practices at 11213 Lee Hwy Ste H, Fairfax, VA 22030. The listed phone number is (703) 372-4429.

What is Wien Manguerra-casiano's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wien Manguerra-casiano enrolled in Medicare?

Yes. Wien Manguerra-casiano is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wien Manguerra-casiano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wien Manguerra-casiano reassigns Medicare benefits to Millenium Medical Corp (Woodbridge, VA). The 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 Wien Manguerra-casiano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wien Manguerra-casiano was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.