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MARISA KONISHI FNP
NPI 1649945593
Nurse Practitioner - Family in Reston, VA

Active since August 12, 2021PECOS EnrolledAccepts Medicare Assignment
1800 TOWN CENTER DR STE 311, RESTON, VA 20190(703) 763-2705(833) 907-2320 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 30, 2023, Dec 8, 2022, Aug 9, 2022 and 1 more (4 updates tracked since 2021).

About Marisa Konishi Fnp NPPES

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

MARISA KONISHI FNP (NPI 1649945593) is an individual family provider in Reston, Virginia, licensed in Virginia (0024181654) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Reston Hospital Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1649945593
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARISA KONISHICredential: FNP
Location Address1800 TOWN CENTER DR STE 311Reston, VA 20190-3239
Mailing Address13168 Centerpointe Way Ste 101Woodbridge, VA 22193-5287 · (703) 730-2000
Phone(703) 763-2705
Fax(833) 907-2320
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 12, 2021
Last NPPES UpdateOctober 30, 20234 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1649945593 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 · 0024181654
1800 TOWN CENTER DR STE 311, Reston, VA 20190
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

Marisa Konishi 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 ID4688072424
PECOS Enrollment IDI20211209000010
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.

Hospital Affiliations CMS Care Compare

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

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20190 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 3

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

PREETI MATNEJA P.T.
Physical Therapist
1800 TOWN CENTER DR STE 311
RESTON, VA 20190
Fairfax County (703) 626-5000
DR. MORAYO O OMOJOKUN M.D.
Family Medicine
1800 TOWN CENTER DR STE 311
RESTON, VA 20190
Fairfax County (703) 763-2705
PRIZED HEALTH PLLC
Family Medicine
1800 TOWN CENTER DR STE 311
RESTON, VA 20190
Fairfax County (703) 755-0634

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 Konishi's NPI number?

The NPI number for Marisa Konishi is 1649945593. It was assigned to this individual provider in the NPPES registry on August 12, 2021.

Where is Marisa Konishi located?

Marisa Konishi practices at 1800 Town Center Dr Ste 311, Reston, VA 20190. The listed phone number is (703) 763-2705.

What is Marisa Konishi's specialty?

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

Is Marisa Konishi enrolled in Medicare?

Yes. Marisa Konishi 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 Marisa Konishi affiliated with any hospitals?

According to CMS data, Marisa Konishi is affiliated with Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for Marisa Konishi was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.