MRS. KATHLEEN H. PRUSSIAN FNP-C
NPI 1629136841
Nurse Practitioner - Family in Alexandria, VA

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
1636 BELLE VIEW BLVD, ALEXANDRIA, VA 22307(866) 389-2727 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2025, Aug 13, 2021, Aug 5, 2020 and 1 more (4 updates tracked since 2020).

About Mrs. Kathleen H. Prussian Fnp-c NPPES

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

MRS. KATHLEEN H. PRUSSIAN FNP-C (NPI 1629136841) is an individual family provider in Alexandria, Virginia, licensed in Virginia (0024168462) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1629136841
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KATHLEEN H. PRUSSIANCredential: FNP-C
Location Address1636 BELLE VIEW BLVDAlexandria, VA 22307-6531
Mailing Address1636 Belle View BlvdAlexandria, VA 22307-6531 · (866) 389-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 4, 2006
Last NPPES UpdateSeptember 16, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
NPI 1629136841 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 · 0024168462
1636 BELLE VIEW BLVD, Alexandria, VA 22307

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

Mrs. Kathleen H. Prussian Fnp-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 ID941370076
PECOS Enrollment IDI20251010001297
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22307 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers77 claims77 services$85.04 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
5 suppliers61 claims61 services$32.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
1636 BELLE VIEW BLVD
ALEXANDRIA, VA 22307
Nurse Practitioner (Family)
1636 BELLE VIEW BLVD
ALEXANDRIA, VA 22307
Nurse Practitioner (Family)
1636 BELLE VIEW BLVD
ALEXANDRIA, VA 22307
Nurse Practitioner (Family)
1636 BELLE VIEW BLVD
ALEXANDRIA, VA 22307
Nurse Practitioner (Family)
1636 BELLE VIEW BLVD
ALEXANDRIA, VA 22307
Nurse Practitioner (Family)
1636 BELLE VIEW BLVD
ALEXANDRIA, VA 22307
Pharmacist
1636 BELLE VIEW BLVD
ALEXANDRIA, VA 22307
Nurse Practitioner (Family)
1636 BELLE VIEW BLVD
ALEXANDRIA, VA 22307

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 Kathleen Prussian's NPI number?

The NPI number for Kathleen Prussian is 1629136841. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Kathleen Prussian located?

Kathleen Prussian practices at 1636 Belle View Blvd, Alexandria, VA 22307. The listed phone number is (866) 389-2727.

What is Kathleen Prussian's specialty?

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

Is Kathleen Prussian enrolled in Medicare?

Yes. Kathleen Prussian 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.

When was this NPI record last updated?

The NPPES record for Kathleen Prussian was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.