MINUTECLINIC DIAGNOSTIC OF VIRGINIA LLC
NPI 1417076829
Nurse Practitioner - Family in Leesburg, VA

Active since March 28, 2007
19305 RUBY DR, LEESBURG, VA 20176(866) 389-2727(401) 406-3539 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2024, Apr 30, 2024, Feb 4, 2022 and 2 more (5 updates tracked since 2015).

About Minuteclinic Diagnostic Of Virginia Llc NPPES

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

MINUTECLINIC DIAGNOSTIC OF VIRGINIA LLC (NPI 1417076829) is a healthcare organization registered as a family in Leesburg, Virginia and active in the NPI registry since March 2007. The organization lists Deborah Jean Pincince, Administrator, as its authorized official.

NPPES Registry Identity

NPI1417076829
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMINUTECLINIC DIAGNOSTIC OF VIRGINIA LLC
Location Address19305 RUBY DRLeesburg, VA 20176-6508
Mailing AddressPo Box 772, Minuteclinic Credentialing-mc2295Woonsocket, RI 02895-0784 · (401) 770-3813 · Fax (401) 406-3539
Fax(401) 406-3539
Organization SubpartNo
Authorized OfficialDeborah Jean PincinceAdministrator · (401) 770-3813
Enumeration DateMarch 28, 2007
Last NPPES UpdateJune 24, 20245 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1417076829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
19305 RUBY DR, Leesburg, VA 20176

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minuteclinic Diagnostic Of Virginia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

301

Medicare enrollment records show 301 clinicians reassign Medicare billing to Minuteclinic Diagnostic Of Virginia LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner289
Clinical Social Worker5
Cardiovascular Disease (Cardiology)3
Mental Health Counselor2
Family Practice1
Marriage and Family Therapist1

Nearest to this location (20)

See all 301
Nurse Practitioner
NPI 1730581307
19305 RUBY DR
Leesburg, VA 20176
(571) 333-5918
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013628783
19305 RUBY DR
Leesburg, VA 20176
(866) 389-2727
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629444088
19305 RUBY DR
Leesburg, VA 20176
(866) 389-2727
✔ PECOSSame address
Nurse Practitioner
NPI 1215527544
19305 RUBY DR
Leesburg, VA 20176
(866) 389-2727
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235585613
19440 GOLF VISTA PLZ STE 230
Lansdowne, VA 20176
(571) 510-0607
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1568518298
19465 DEERFIELD AVE SUITE 207
Leesburg, VA 20176
(703) 723-6774
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1225382492
44055 RIVERSIDE PKWY STE 150
Leesburg, VA 20176
(703) 858-6399
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1285179234
1200 EDWARDS FERRY RD NE
Leesburg, VA 20176
(334) 444-4697
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1750124079
1200 EDWARDS FERRY RD NE
Leesburg, VA 20176
(703) 777-8059
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1174965347
1200 EDWARDS FERRY RD NE
Leesburg, VA 20176
(866) 389-2727
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1245030154
1200 EDWARDS FERRY RD NE
Leesburg, VA 20176
(866) 389-2727
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1548611916
1200 EDWARDS FERRY RD NE
Leesburg, VA 20176
(866) 389-2727
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1225629785
44097 TIPPECANOE TER
Ashburn, VA 20147
(301) 768-5371
✔ PECOS3.4 mi
Nurse Practitioner
NPI 1083268973
122 MORVEN PARK RD NW
Leesburg, VA 20176
(703) 777-8700
✔ PECOS4.8 mi
Nurse Practitioner
NPI 1033767124
21785 FILIGREE CT STE 100
Ashburn, VA 20147
(703) 554-1100
✔ PECOS✔ Accepts Medicare5.2 mi
Nurse Practitioner
NPI 1114013059
110 EDDS LN
Sterling, VA 20165
(703) 568-6062
✔ PECOS✔ Accepts Medicare5.4 mi
Nurse Practitioner
NPI 1952935777
1062 ELDEN ST
Herndon, VA 20170
(703) 471-7000
✔ PECOS✔ Accepts Medicare9.5 mi
Nurse Practitioner
NPI 1639813835
24795 PINEBROOK RD
Chantilly, VA 20152
(703) 542-7691
✔ PECOS✔ Accepts Medicare10 mi
Clinical Social Worker
NPI 1083034250
7955 TUCKERMAN LN # 1449
Rockville, MD 20854
(866) 389-2727
✔ PECOS18 mi
Mental Health Counselor
NPI 1184292971
3921 PROSPERITY AVE
Fairfax, VA 22031
(804) 475-8892
✔ PECOS22 mi
See all 301 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Minuteclinic Diagnostic Of Virginia LLC's NPI number?

The NPI number for Minuteclinic Diagnostic Of Virginia LLC is 1417076829. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Minuteclinic Diagnostic Of Virginia LLC located?

Minuteclinic Diagnostic Of Virginia LLC is located at 19305 Ruby Dr, Leesburg, VA 20176. The listed phone number is (866) 389-2727.

What is Minuteclinic Diagnostic Of Virginia LLC's specialty?

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

Is Minuteclinic Diagnostic Of Virginia LLC enrolled in Medicare?

Yes. Minuteclinic Diagnostic Of Virginia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Minuteclinic Diagnostic Of Virginia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 301 clinicians in 6 Medicare specialties reassign their Medicare billing to Minuteclinic Diagnostic Of Virginia LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (289), Clinical Social Worker (5) and Cardiovascular Disease (Cardiology) (3). Of these, 4 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Minuteclinic Diagnostic Of Virginia LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 8 other insurers list Minuteclinic Diagnostic Of Virginia LLC 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.

When was this NPI record last updated?

The NPPES record for Minuteclinic Diagnostic Of Virginia LLC was last updated on June 24, 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.