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

Active since July 26, 2022PECOS Enrolled
2710 PROSPERITY AVE STE 200, FAIRFAX, VA 22031(703) 280-2841 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 10, 2022, Jul 26, 2022 (2 updates tracked since 2022).

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Marisa Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairfax Colon & Rectal Surgery, PC
Same address
Specialist
2710 PROPERSITY AVE, STE 200
Fairfax, VA 22031
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 20 clinicians in this Medicare group
NPI 1427169507 (703) 280-2841

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 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 8

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)
2710 PROSPERITY AVE STE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
ALEXANDRA NICOLE MINUTILLO
Physician Assistant (Medical)
2710 PROSPERITY AVE STE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
DR. CHRISTINA CHENG M.D.
Colon & Rectal Surgery
2710 PROSPERITY AVE STE 200
FAIRFAX, VA 22031
Fairfax County (703) 650-2333
DR. TIMOTHY ANDREAS PLERHOPLES M.D.
Surgery
2710 PROSPERITY AVE STE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
CATHERINE GRACE ENGIBOUS HOLDER PA-C
Physician Assistant (Surgical)
2710 PROSPERITY AVE STE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
ANNA KATA
Colon & Rectal Surgery
2710 PROSPERITY AVE STE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
DR. REBEKAH KIM M.D.
Colon & Rectal Surgery
2710 PROSPERITY AVE STE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
SYDNEY BEACHE MD
Colon & Rectal Surgery
2710 PROSPERITY AVE STE 200
FAIRFAX, VA 22031
Fairfax County (443) 717-0961

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 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.

Where is Marisa Wong located?

Marisa Wong practices at 2710 Prosperity Ave Ste 200, Fairfax, VA 22031. The listed phone number is (703) 280-2841.

What is Marisa Wong's specialty?

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

Is Marisa Wong enrolled in Medicare?

Yes. Marisa Wong is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marisa Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Wong reassigns Medicare benefits to Fairfax Colon & Rectal Surgery, PC (Fairfax, 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 Marisa Wong'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 Marisa Wong was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.