DONGJIN SHIN FNP
NPI 1679273650
Nurse Practitioner - Family in Fairfax, VA

Q: What is Dongjin Shin's NPI number?

The NPI number for Dongjin Shin is 1679273650. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Q: What is Dongjin Shin'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 Dongjin Shin was last updated on February 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 07, 2023PECOS EnrolledAccepts Medicare Assignment

2700 PROSPERITY AVE STE 270, FAIRFAX, VA 22031(703) 698-2431(571) 665-6878 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dongjin Shin Fnp NPPES

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

DONGJIN SHIN FNP (NPI 1679273650) is an individual family provider in Fairfax, Virginia, licensed in Virginia (0024185537) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Inova Mount Vernon Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679273650

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDONGJIN SHINCredential: FNP

Location Address2700 PROSPERITY AVE STE 270Fairfax, VA 22031-4321

Mailing Address2700 Prosperity Ave Ste 270Fairfax, VA 22031-4321 · (703) 698-2431 · Fax (571) 665-6878

Phone(703) 698-2431

Fax(571) 665-6878

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 7, 2023

Last NPPES UpdateFebruary 25, 2026

NPPES CertifiedFebruary 25, 2026

✔ NPI 1679273650 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 · 0024185537

2700 PROSPERITY AVE STE 270, 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 and accepts Medicare assignment

Dongjin Shin 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 ID9739545047

PECOS Enrollment IDI20241227002179

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 2

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 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.

88 services65 patients

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.

85 services62 patients

Hospital Affiliations CMS Care Compare

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

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490122

Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County

Emergency services

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.

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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.

DANETTE E NICHOLES AGNP

Nurse Practitioner