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RUBY ROSA P JACINTO NP
NPI 1417756305
Nurse Practitioner - Family in Fairfax, VA

Active since March 12, 2025PECOS Enrolled
8081 INNOVATION PARK DR FL 6, FAIRFAX, VA 22031(703) 776-8577(571) 665-6549 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 11, 2026, Mar 11, 2026, Mar 12, 2025 (3 updates tracked since 2025).

About Ruby Rosa P Jacinto Np NPPES

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

RUBY ROSA P JACINTO NP (NPI 1417756305) is an individual family provider in Fairfax, Virginia, licensed in Virginia (0024192907) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417756305
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRUBY ROSA P JACINTOCredential: NP
Location Address8081 INNOVATION PARK DR FL 6Fairfax, VA 22031-4867
Mailing AddressPo Box 37174Baltimore, MD 21297-3174 · (571) 423-5699 · Fax (571) 423-5698
Phone(703) 776-8577
Fax(571) 665-6549
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 12, 2025
Last NPPES UpdateMay 11, 20263 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1417756305 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 · 0024192907
8081 INNOVATION PARK DR FL 6, 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 (PECOS)

Ruby Rosa P Jacinto Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517441017
PECOS Enrollment IDI20260324000039
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 Ruby Rosa Jacinto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inova Health Care Services
0.3 mi
Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2,618 clinicians in this Medicare group
NPI 1952320061 (703) 321-2627
Medstar Medical Group II LLC
8.7 mi
Critical Care Medicine
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group
NPI 1205562816 (703) 558-1403

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

Hospital Affiliations CMS Care Compare

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

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

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.

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 Ruby Rosa Jacinto's NPI number?

The NPI number for Ruby Rosa Jacinto is 1417756305. It was assigned to this individual provider in the NPPES registry on March 12, 2025.

Where is Ruby Rosa Jacinto located?

Ruby Rosa Jacinto practices at 8081 Innovation Park Dr Fl 6, Fairfax, VA 22031. The listed phone number is (703) 776-8577.

What is Ruby Rosa Jacinto's specialty?

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

Is Ruby Rosa Jacinto enrolled in Medicare?

Yes. Ruby Rosa Jacinto is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ruby Rosa Jacinto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruby Rosa Jacinto reassigns Medicare benefits to 2 organizations: Inova Health Care Services (Falls Church, VA) and Medstar Medical Group II LLC (Washington, DC). 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 Ruby Rosa Jacinto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ruby Rosa Jacinto affiliated with any hospitals?

According to CMS data, Ruby Rosa Jacinto is affiliated with Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Ruby Rosa Jacinto was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.