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KIMBERLY ANN HAGOPIAN
NPI 1396579090
Nurse Practitioner - Family in Fairfax, VA

Active since August 27, 2024PECOS EnrolledAccepts Medicare Assignment
8081 INNOVATION PARK DR, FAIRFAX, VA 22031(443) 852-1665 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kimberly Ann Hagopian NPPES

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

KIMBERLY ANN HAGOPIAN (NPI 1396579090) is an individual family provider in Fairfax, Virginia, licensed in Virginia (0024191062) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Marymount University (2024).

NPPES Registry Identity

NPI1396579090
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY ANN HAGOPIAN
Location Address8081 INNOVATION PARK DRFairfax, VA 22031-4867
Mailing Address8081 Innovation Park DrFairfax, VA 22031-4867 · (572) 472-1190
Phone(443) 852-1665
Sole ProprietorYes
Medical School CMSMarymount UniversityGraduated 2024
Enumeration DateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1396579090 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 · 0024191062
8081 INNOVATION PARK DR, Fairfax, VA 22031
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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

Kimberly Ann Hagopian 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 ID6800329798
PECOS Enrollment IDI20241030004155, I20241101001115, I20241209000459
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

2

Medicare enrollment records show Kimberly Hagopian reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

On Site Dermatology Associates LLC
53 mi
Dermatology
8800 WALTHER BLVD
Parkville, MD 21234
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 3 clinicians in this Medicare group
NPI 1306154794 (877) 345-5300
On Site Dermatology LLC
876 mi
Dermatology
4700 EXCHANGE CT STE 110
Boca Raton, FL 33431
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 5 clinicians in this Medicare group
NPI 1215978713 (877) 345-5300

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 22031 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 20

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

DR. RAYMUND S CUEVO M.D.
Internal Medicine (Medical Oncology)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Fairfax County (571) 472-4724
DR. MICHAEL MAITLAND M.D., PH.D.
Internal Medicine (Medical Oncology)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Fairfax County (571) 472-4724
RADIATION ONCOLOGY ASSOCIATES, PC
Radiology (Radiation Oncology)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Fairfax County (571) 472-0606
KATHLEEN KIERNAN HARNDEN M.D.
Internal Medicine (Medical Oncology)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Fairfax County (571) 472-4724
MRS. MEGAN R SLOCUM PA-C
Physician Assistant
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Fairfax County (571) 472-4724
SHEINEI SALEEM ALAN MD, PHD
Internal Medicine
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Fairfax County (571) 472-1390
CARRIE PEERS RDN
Dietitian, Registered
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Fairfax County (571) 472-1945
DR. EUN-MI YU M.D.
Internal Medicine (Medical Oncology)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Fairfax County (571) 472-4724

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 Kimberly Hagopian's NPI number?

The NPI number for Kimberly Hagopian is 1396579090. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Where is Kimberly Hagopian located?

Kimberly Hagopian practices at 8081 Innovation Park Dr, Fairfax, VA 22031. The listed phone number is (443) 852-1665.

What is Kimberly Hagopian's specialty?

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

Is Kimberly Hagopian enrolled in Medicare?

Yes. Kimberly Hagopian 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 Kimberly Hagopian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Hagopian reassigns Medicare benefits to 2 organizations: On Site Dermatology Associates LLC (Parkville, MD) and On Site Dermatology LLC (Boca Raton, FL). 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 Kimberly Hagopian'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 Kimberly Hagopian was last updated on August 27, 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.