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MR. JUSTIN GRIFFIN FNP
NPI 1629795711
Nurse Practitioner in Williamsburg, VA

Active since October 20, 2022PECOS EnrolledAccepts Medicare Assignment
91.81/100
CMS Quality Rating
400 SENTARA CIRCLE, WILLIAMSBURG, VA 23188(757) 534-7701 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Justin Griffin Fnp NPPES

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

MR. JUSTIN GRIFFIN FNP (NPI 1629795711) is an individual nurse practitioner in Williamsburg, Virginia, licensed in Virginia (0024185479) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with Mary Immaculate Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629795711
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. JUSTIN GRIFFINCredential: FNP
Location Address400 SENTARA CIRCLEWilliamsburg, VA 23188
Mailing Address4338 Fort Huger Dr.Smithfield, VA 23430 · (757) 536-2989
Phone(757) 534-7701
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 20, 2022
NPPES CertifiedOctober 20, 2022
✔ NPI 1629795711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VA · 0024185479
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
400 SENTARA CIRCLE, Williamsburg, VA 23188
Open in Google Maps ↗

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

Mr. Justin Griffin Fnp 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 ID2466829197
PECOS Enrollment IDI20221109000560
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 9

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.
260 services230 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
224 services108 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
112 services109 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.
111 services104 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
66 services66 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
60 services60 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490041
Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County
Emergency services Birthing friendly

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23188 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.

91.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.14
Promoting Interoperability100
Improvement Activities40
Cost87.56

Other Providers at the Same Location NPPES 4

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

MELINDA MARTIN DUNN MD
Radiology (Diagnostic Radiology)
400 SENTARA CIRCLE, GETTY OUTPATIENT CENTER WOMENS IMAGING CENTER
WILLIAMSBURG, VA 23188
James City County (757) 345-4080
VIRGINIA PAIN MANAGEMENT CONSULTANTS PC
Anesthesiology (Pain Medicine)
400 SENTARA CIRCLE
WILLIAMSBURG, VA 23188
James City County (757) 345-4400
SENTARA MEDICAL GROUP
Family Medicine
400 SENTARA CIRCLE, SUITE 450
WILLIAMSBURG, VA 23188
James City County (757) 345-4600
SENTARA MEDICAL GROUP
Orthopaedic Surgery
400 SENTARA CIRCLE, SUITE 320
WILLIAMSBURG, VA 23188
James City County (757) 345-4500

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 Justin Griffin's NPI number?

The NPI number for Justin Griffin is 1629795711. It was assigned to this individual provider in the NPPES registry on October 20, 2022.

Where is Justin Griffin located?

Justin Griffin practices at 400 Sentara Circle, Williamsburg, VA 23188. The listed phone number is (757) 534-7701.

What is Justin Griffin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Justin Griffin enrolled in Medicare?

Yes. Justin Griffin 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.

Is Justin Griffin affiliated with any hospitals?

According to CMS data, Justin Griffin is affiliated with Mary Immaculate Hospital and Sentara Obici Hospital.

When was this NPI record last updated?

The NPPES record for Justin Griffin was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.