MARLOW PHILLIPS NP
NPI 1396193405
Nurse Practitioner - Gerontology in Fairfax, VA
About Marlow Phillips Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARLOW PHILLIPS NP (NPI 1396193405) is an individual gerontology provider in Fairfax, Virginia, licensed in Virginia (0024173545) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marlow Phillips Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marlow Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Minnesota enrollment
- 166 clinicians in this Medicare group
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 22042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FALLS CHURCH, VA 22042
FALLS CHURCH, VA 22042
FALLS CHURCH, VA 22042
FALLS CHURCH, VA 22042
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 Marlow Phillips's NPI number?
The NPI number for Marlow Phillips is 1396193405. It was assigned to this individual provider in the NPPES registry on May 31, 2016. The provider is also known as Marlow Kristine Bruneau.
Where is Marlow Phillips located?
Marlow Phillips practices at 3300 Gallows Road, Fairfax, VA 22042. The listed phone number is (703) 776-4001.
What is Marlow Phillips's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Marlow Phillips enrolled in Medicare?
Yes. Marlow Phillips is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marlow Phillips's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marlow Phillips reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Marlow Phillips'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 Marlow Phillips was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Marlow Phillips, NP · NPI 1396193405
Gerontology physician in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since May 31, 2016.
## Identity
- **NPI:** 1396193405 (Entity type: Individual)
- **Enumerated:** May 31, 2016
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 0024173545 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3300 GALLOWS ROAD, Fairfax, VA 22042
- **Phone:** (703) 776-4001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 27, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1396193405) · Data from the CMS NPPES public registry.