1. Home
  2. Directory
  3. Virginia
  4. Mc Lean
  5. Nurse Practitioner
  6. NPI Profile

JENNIFER DJORUP SPYRIDAKIS
NPI 1275105314
Nurse Practitioner - Family in Mc Lean, VA

Active since July 16, 2021PECOS Enrolled
6849 OLD DOMINION DR STE 450, MC LEAN, VA 22101(703) 356-5111 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Djorup Spyridakis NPPES

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

JENNIFER DJORUP SPYRIDAKIS (NPI 1275105314) is an individual family provider in Mc Lean, Virginia, licensed in Virginia (0024182135) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275105314
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER DJORUP SPYRIDAKIS
Location Address6849 OLD DOMINION DR STE 450Mc Lean, VA 22101-3718
Mailing Address5213 Sideburn RdFairfax, VA 22032-2641
Phone(703) 356-5111
Sole ProprietorNo
Enumeration DateJuly 16, 2021
NPPES CertifiedJuly 16, 2021
✔ NPI 1275105314 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 · 0024182135
6849 OLD DOMINION DR STE 450, Mc Lean, VA 22101
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Djorup Spyridakis 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 22101 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 4

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

MCLEAN DERMATOLOGY AND SKINCARE CENTER
Clinic/Center (Medical Specialty)
6849 OLD DOMINION DR STE 450
MC LEAN, VA 22101
Fairfax County (703) 356-5111
MRS. NADIA PERITSALIS HERRERA PA
Physician Assistant
6849 OLD DOMINION DR STE 450
MC LEAN, VA 22101
Fairfax County (703) 356-5111
AMANDA LEZANSKI-GUJDA D.O.
Dermatology
6849 OLD DOMINION DR STE 450
MC LEAN, VA 22101
Fairfax County (703) 356-5111
DR. LILY TALAKOUB M.D.
Dermatology
6849 OLD DOMINION DR STE 450
MC LEAN, VA 22101
Fairfax County (703) 356-5111

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 Jennifer Spyridakis's NPI number?

The NPI number for Jennifer Spyridakis is 1275105314. It was assigned to this individual provider in the NPPES registry on July 16, 2021.

Where is Jennifer Spyridakis located?

Jennifer Spyridakis practices at 6849 Old Dominion Dr Ste 450, Mc Lean, VA 22101. The listed phone number is (703) 356-5111.

What is Jennifer Spyridakis's specialty?

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

Is Jennifer Spyridakis enrolled in Medicare?

Yes. Jennifer Spyridakis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Spyridakis was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.