Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SHAQUILLA VAZQUEZ DNP CRNP FNP-BC FNPC
NPI 1538869789
Nurse Practitioner - Family in Fairfax, VA

Q: What is Shaquilla Vazquez's NPI number?

The NPI number for Shaquilla Vazquez is 1538869789. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Q: What is Shaquilla Vazquez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shaquilla Vazquez was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.

Active since March 07, 2023PECOS EnrolledAccepts Medicare Assignment

11166 FAIRFAX BLVD STE 500, FAIRFAX, VA 22030(301) 715-3010(410) 220-8162 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2026, Jan 2, 2026, Dec 13, 2024 and 4 more (7 updates tracked since 2023).

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About Dr. Shaquilla Vazquez Dnp Crnp Fnp-bc Fnpc NPPES

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

DR. SHAQUILLA VAZQUEZ DNP CRNP FNP-BC FNPC (NPI 1538869789) is an individual family provider in Fairfax, Virginia, licensed in Maryland (R193829) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1538869789

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. SHAQUILLA VAZQUEZCredential: DNP CRNP FNP-BC FNPC

Location Address11166 FAIRFAX BLVD STE 500Fairfax, VA 22030-5017

Mailing Address12530 Fairwood Pkwy Ste 102Bowie, MD 20720-6357 · (301) 715-3010 · Fax (410) 220-8162

Phone(301) 715-3010

Fax(410) 220-8162

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 7, 2023

Last NPPES UpdateJuly 29, 20267 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1538869789 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

Licenses✔ Licensed in MD · R193829✔ Licensed in DE · LG-0013304✔ Licensed in OH · APRN.CNP.0036121✔ Licensed in KY · 4027887✔ Licensed in VA · 0024189531✔ Licensed in TX · 1178967

11166 FAIRFAX BLVD STE 500, Fairfax, VA 22030

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shaquilla Vazquez Dnp Crnp Fnp-bc Fnpc 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 ID1052757945

PECOS Enrollment IDI20240314000206, I20240315001271, I20240820004242

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.

Areas of Expertise CMS Part B claims 10

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

213 services97 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

106 services57 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

77 services76 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

39 services21 patients

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506

This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.

35 services33 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 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.

Other Providers at the Same Location NPPES 17

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

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