MARISA WONG FNP - NPI 1649906454 - Nurse Practitioner in Fairfax, VA

Q: What is Marisa Wong's NPI number?

The NPI number for Marisa Wong is 1649906454. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Q: What is Marisa Wong'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 Marisa Wong was last updated on August 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Marisa Wong Fnp NPPES

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

MARISA WONG FNP (NPI 1649906454) is an individual family provider in Fairfax, Virginia, licensed in Virginia (0024177055) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649906454

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARISA WONGCredential: FNP

Location Address2710 PROSPERITY AVE STE 200Fairfax, VA 22031-4358

Mailing Address8525 Tysons CtVienna, VA 22182-5019

Phone(703) 280-2841

Sole ProprietorNo

Enumeration DateJuly 26, 2022

Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration

NPPES CertifiedAugust 10, 2022

✔ NPI 1649906454 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 · 0024177055

2710 PROSPERITY AVE STE 200, Fairfax, VA 22031

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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 (PECOS)

Marisa Wong Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 22031 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 7

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

FAIRFAX COLON & RECTAL SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)