JAMES THOMAS DINGESS FNP-C
NPI 1396230793
Nurse Practitioner - Family in Gainesville, VA

Active since June 27, 2018PECOS EnrolledAccepts Medicare Assignment
13575 HEATHCOTE BLVD STE 210, GAINESVILLE, VA 20155(703) 204-9301 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 15, 2021, Mar 13, 2021, Mar 30, 2020 and 2 more (5 updates tracked since 2018).

About James Thomas Dingess Fnp-c NPPES

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

JAMES THOMAS DINGESS FNP-C (NPI 1396230793) is an individual family provider in Gainesville, Virginia, licensed in Virginia (0024176278) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396230793
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAMES THOMAS DINGESSCredential: FNP-C
Location Address13575 HEATHCOTE BLVD STE 210Gainesville, VA 20155-6698
Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2896 · (540) 536-5100 · Fax (540) 536-0235
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 27, 2018
Last NPPES UpdateMarch 26, 20245 updates tracked since enumeration
NPPES CertifiedMarch 26, 2024
✔ NPI 1396230793 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
Licenses✔ Licensed in VA · 0024176278✔ Licensed in WV · 101347
13575 HEATHCOTE BLVD STE 210, Gainesville, VA 20155

Secondary Practice Locations 2

Location 11 Healthy WayBerkeley Springs, WV 25411-7463 · Phone (304) 258-1234 · Fax (304) 258-7434
Location 21880 Amherst Street, Suite 100 and Suite 200Winchester, VA 22601 · Phone (540) 662-0306 · Fax (855) 264-2066

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Thomas Dingess Fnp-c 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 ID6103166855
PECOS Enrollment IDI20190606000706, I20240118003545
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 Reassignments

4

Medicare enrollment records show James Dingess reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
100 MAPLE AVE E
Vienna, VA 22180
  • Reassigned Medicare billing, Virginia and District of Columbia enrollments
  • Also billed through NPI 1669511051 (District of Columbia)
  • 2,379 clinicians in this Medicare group
Family Medicine
115 SOUTH CHURCH STREET
Berryville, VA 22611
  • Reassigned Medicare billing, Virginia enrollment
  • 386 clinicians in this Medicare group
Family Medicine
217 GROCERY AVENUE, SUITE B
Winchester, VA 22602
  • Reassigned Medicare billing, Virginia enrollment
  • 756 clinicians in this Medicare group
Critical Access
1 HEALTHY WAY
Berkeley Springs, WV 25411
  • Reassigned Medicare billing, West Virginia enrollment
  • 158 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
372 services294 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
289 services241 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20155 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 8

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

Family Medicine
13575 HEATHCOTE BLVD STE 210
GAINESVILLE, VA 20155
Counselor (Professional)
13575 HEATHCOTE BLVD STE 210
GAINESVILLE, VA 20155
Family Medicine
13575 HEATHCOTE BLVD STE 210
GAINESVILLE, VA 20155
Nurse Practitioner (Family)
13575 HEATHCOTE BLVD STE 210
GAINESVILLE, VA 20155
Family Medicine
13575 HEATHCOTE BLVD STE 210
GAINESVILLE, VA 20155
Nurse Practitioner (Family)
13575 HEATHCOTE BLVD STE 210
GAINESVILLE, VA 20155
Family Medicine
13575 HEATHCOTE BLVD STE 210
GAINESVILLE, VA 20155
Nurse Practitioner (Family)
13575 HEATHCOTE BLVD STE 210
GAINESVILLE, VA 20155

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 James Dingess's NPI number?

The NPI number for James Dingess is 1396230793. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is James Dingess located?

James Dingess practices at 13575 Heathcote Blvd Ste 210, Gainesville, VA 20155. The listed phone number is (703) 204-9301.

What is James Dingess's specialty?

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

Is James Dingess enrolled in Medicare?

Yes. James Dingess is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Dingess's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Dingess reassigns Medicare benefits to 4 organizations: Inova Health Care Services (Vienna, VA), Valley Physician Enterprise, Inc. (Berryville, VA), Winchester Medical Center (Winchester, VA) and War Memorial Hospital, Inc. (Berkeley Springs, WV). Each 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 James Dingess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Dingess accept?

Health plans from CareSource and Oscar Health list James Dingess as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Dingess affiliated with any hospitals?

According to CMS data, James Dingess is affiliated with Inova Loudoun Hospital, Inova Fairfax Hospital, Inova Fair Oaks Hospital and Uva Health Haymarket Medical Center.

When was this NPI record last updated?

The NPPES record for James Dingess was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.