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RACHEL SPARKS NP-C
NPI 1437697075
Nurse Practitioner - Family in Ashburn, VA

Active since February 02, 2017PECOS EnrolledAccepts Medicare Assignment
20905 PROFESSIONAL PLZ STE 330, ASHBURN, VA 20147(703) 726-0003 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 19, 2020, Feb 2, 2017 (2 updates tracked since 2017).

About Rachel Sparks Np-c NPPES

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

RACHEL SPARKS NP-C (NPI 1437697075) is an individual family provider in Ashburn, Virginia, licensed in Virginia (0024174466) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1437697075
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL SPARKSCredential: NP-C
Location Address20905 PROFESSIONAL PLZ STE 330Ashburn, VA 20147-3409
Mailing Address20905 Professional Plz Ste 330Ashburn, VA 20147-3409
Phone(703) 726-0003
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 2, 2017
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
✔ NPI 1437697075 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 · 0024174466
20905 PROFESSIONAL PLZ STE 330, Ashburn, VA 20147
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Rachel Sparks Np-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 ID840576641
PECOS Enrollment IDI20170410001995
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 Rachel Sparks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inova Physician Partners, LLC
11 mi
Family Medicine
3914 CENTREVILLE RD, SUITE 250
Chantilly, VA 20151
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 379 clinicians in this Medicare group
NPI 1215264916 (703) 321-2609
Privia Medical Group, LLC
24 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

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 6

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.
201 services105 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
37 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services24 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
20 services17 patients
Urine microalbumin (protein) analysis 82044
Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.
19 services17 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20147 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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%3,185 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
16%514 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%22 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
25%722 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%117 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
83%117 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
69%117 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

ANGEL ROGERS
Nurse Practitioner (Gerontology)
20905 PROFESSIONAL PLZ STE 330
ASHBURN, VA 20147
Loudoun County (703) 726-0003
BRENNAH KATHERINE LEE PA-C
Physician Assistant
20905 PROFESSIONAL PLZ STE 330
ASHBURN, VA 20147
Loudoun County (703) 726-0003
JIAJIA ZHU
Nurse Practitioner (Family)
20905 PROFESSIONAL PLZ STE 330
ASHBURN, VA 20147
Loudoun County (703) 726-0003

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 Rachel Sparks's NPI number?

The NPI number for Rachel Sparks is 1437697075. It was assigned to this individual provider in the NPPES registry on February 2, 2017.

Where is Rachel Sparks located?

Rachel Sparks practices at 20905 Professional Plz Ste 330, Ashburn, VA 20147. The listed phone number is (703) 726-0003.

What is Rachel Sparks's specialty?

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

Is Rachel Sparks enrolled in Medicare?

Yes. Rachel Sparks 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 Rachel Sparks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Sparks reassigns Medicare benefits to 2 organizations: Inova Physician Partners, LLC (Chantilly, VA) and Privia Medical Group, LLC (Arlington, VA). 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 Rachel Sparks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Sparks accept?

Health plans from Oscar Health list Rachel Sparks 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 Rachel Sparks affiliated with any hospitals?

According to CMS data, Rachel Sparks is affiliated with Inova Fairfax Hospital and Inova Fair Oaks Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Sparks was last updated on November 27, 2023. 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.