MRS. AMY PENG FNP
NPI 1457926222
Nurse Practitioner - Family in Reston, VA
About Mrs. Amy Peng Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AMY PENG FNP (NPI 1457926222) is an individual family provider in Reston, Virginia, licensed in Virginia (0024180426) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Amy Peng Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amy Peng reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Annandale, VA 22003
- Reassigned Medicare billing, District of Columbia enrollment
- 4 clinicians in this Medicare group
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 20190 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Amy Peng's NPI number?
The NPI number for Amy Peng is 1457926222. It was assigned to this individual provider in the NPPES registry on May 24, 2021.
Where is Amy Peng located?
Amy Peng practices at 1850 Town Center Pkwy Ste 410, Reston, VA 20190. The listed phone number is (571) 393-6987.
What is Amy Peng's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amy Peng enrolled in Medicare?
Yes. Amy Peng is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amy Peng's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Peng reassigns Medicare benefits to Advanced Digestive Care, LLC (Annandale, VA). The 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 Amy Peng'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 Amy Peng was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Amy Peng, FNP · NPI 1457926222
Family physician in Reston, Virginia. Individual provider, active in the CMS NPPES registry since May 24, 2021.
## Identity
- **NPI:** 1457926222 (Entity type: Individual)
- **Enumerated:** May 24, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024180426 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1850 TOWN CENTER PKWY STE 410, Reston, VA 20190-3300
- **Phone:** (571) 393-6987
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Advanced Digestive Care, LLC (NPI 1629462171, Annandale, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1457926222) · Data from the CMS NPPES public registry.