JUMANA FAHEL FNP-BC
NPI 1205422680
Nurse Practitioner - Family in Broadlands, VA

Active since December 18, 2020PECOS EnrolledAccepts Medicare Assignment
43300 SOUTHERN WALK PLAZA, SUITE 100, BROADLANDS, VA 20148(571) 252-7353 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 24, 2026, Nov 17, 2025, Nov 6, 2025 and 1 more (4 updates tracked since 2020).

About Jumana Fahel Fnp-bc NPPES

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

JUMANA FAHEL FNP-BC (NPI 1205422680) is an individual family provider in Broadlands, Virginia, licensed in Virginia (0024195393) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205422680
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJUMANA FAHELCredential: FNP-BC
Location Address43300 SOUTHERN WALK PLAZA, SUITE 100Broadlands, VA 20148-4463
Mailing Address224-d Cornwall Street, Nw, Suite 403Leesburg, VA 20176-2704 · (703) 737-6010
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 18, 2020
Last NPPES UpdateMarch 24, 20264 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
NPI 1205422680 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 · 0024195393
43300 SOUTHERN WALK PLAZA, SUITE 100, Broadlands, VA 20148

Other Identifiers 1

Medicaid30018458460001VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jumana Fahel Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951887355
PECOS Enrollment IDI20260115000091
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 20148 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 4

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

Family Medicine
43300 SOUTHERN WALK PLAZA, SUITE 100
BROADLANDS, VA 20148
Physician Assistant
43300 SOUTHERN WALK PLAZA, SUITE 100
BROADLANDS, VA 20148
Family Medicine
43300 SOUTHERN WALK PLAZA, SUITE 100
BROADLANDS, VA 20148
Nurse Practitioner (Family)
43300 SOUTHERN WALK PLAZA, SUITE 100
BROADLANDS, VA 20148

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205422680, enumerated as an "individual" on December 18, 2020.

The provider is located at 43300 SOUTHERN WALK PLAZA, SUITE 100 BROADLANDS, VA 20148 and the phone number is (571) 252-7353.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.