ANDREA MARIE KUBOTA FNP-BC
NPI 1407257611
Nurse Practitioner - Family in Fairfax, VA

Active since September 07, 2014Opted out of Medicare · through Jul 1, 2027
87.2/100
CMS Quality Rating
10301 NEW GUINEA RD, FAIRFAX, VA 22032(703) 764-5100 Get Directions Write a Review

NPPES record last updated: September 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Marie Kubota Fnp-bc NPPES

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

ANDREA MARIE KUBOTA FNP-BC (NPI 1407257611) is an individual family provider in Fairfax, Virginia, licensed in Virginia (0024171989) and active in the NPI registry since September 2014. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407257611
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA MARIE KUBOTACredential: FNP-BC
Location Address10301 NEW GUINEA RDFairfax, VA 22032-3268
Mailing Address10301 New Guinea RdFairfax, VA 22032-3268 · (703) 764-5100
Sole ProprietorNo
Enumeration DateSeptember 7, 2014
NPI 1407257611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024171989
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001206486 (VA)
10301 NEW GUINEA RD, Fairfax, VA 22032

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Andrea Marie Kubota Fnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22032 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.74
Improvement Activities40
Cost100

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.

Pharmacy Technician
10301 NEW GUINEA RD
FAIRFAX, VA 22032
Pharmacy Technician
10301 NEW GUINEA RD
FAIRFAX, VA 22032
Pharmacy Technician
10301 NEW GUINEA RD
FAIRFAX, VA 22032
Pharmacist
10301 NEW GUINEA RD
FAIRFAX, VA 22032
Pharmacist
10301 NEW GUINEA RD
FAIRFAX, VA 22032
Pharmacist
10301 NEW GUINEA RD
FAIRFAX, VA 22032
Pharmacist
10301 NEW GUINEA RD
FAIRFAX, VA 22032
Nurse Practitioner (Family)
10301 NEW GUINEA RD
FAIRFAX, VA 22032

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 Andrea Marie Kubota's NPI number?

The NPI number for Andrea Marie Kubota is 1407257611. It was assigned to this individual provider in the NPPES registry on September 7, 2014.

Where is Andrea Marie Kubota located?

Andrea Marie Kubota practices at 10301 New Guinea Rd, Fairfax, VA 22032. The listed phone number is (703) 764-5100.

What is Andrea Marie Kubota's specialty?

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

Is Andrea Marie Kubota enrolled in Medicare?

No. Andrea Marie Kubota has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Andrea Marie Kubota was last updated on September 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.