ANNA ARMISTEAD CLINTON NP NPI 1699226159
Nurse Practitioner - Family in Fairfax, VA

Individual Female Years of Experience 7 Nurse Practitioner Family PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 95.7

About ANNA ARMISTEAD CLINTON NP

Anna Clinton is a provider established in Fairfax, Virginia and her medical specialization is Nurse Practitioner with a focus in family with more than 7 years of experience. The NPI number of Anna Clinton is 1699226159 and was assigned on October 2016. The practitioner's primary taxonomy code is 363LF0000X with license number 0024175592 (VA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1699226159
Provider Name ANNA ARMISTEAD CLINTON NP
Provider Location Address8501 ARLINGTON BLVD STE 200 FAIRFAX, VA 22031
Provider Mailing AddressPO BOX 37174 BALTIMORE, MD 21297
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2016
Is Sole Proprietor?No
Enumeration Date10-20-2016
Last Update Date10-20-2020

A nurse practitioner (NP) like Anna Armistead Clinton Np is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.Anna Clinton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Anna Clinton is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.7, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $26.14 for a new patient copayment and $30.05 for an established patient copayment.



Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.0024175592
License StateVA

Business Address

ANNA ARMISTEAD CLINTON NP
8501 ARLINGTON BLVD STE 200
FAIRFAX, VA
ZIP 22031
Phone: (703) 970-6464

Get Directions


Mailing Address

ANNA ARMISTEAD CLINTON NP
PO BOX 37174
BALTIMORE, MD
ZIP 21297
Phone: (615) 969-6617


Secondary Locations

3300 Gallows Rd
Falls Church, VA 22042
(703) 776-4001


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID3678858321
PECOS Enrollment IDI20180209000223
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 22031 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$68.56 $204.56 $104.59
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$17.14 $51.14 $26.14
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$21.87 $167.24 $120.2
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.46 $41.81 $30.05

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 77.2
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 95.7
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner0024175592VANo

Taxonomy Description: (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.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699226159
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261894212110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 4 + 2 + 1 + 2 + 1 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1699226159 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659800431 ALEJANDRO GERARDO CRUZ
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1538529219 JENNIFER NICOLE BURKHALTER DPT, OCS,CSCS
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1063803062DR. ALBERT PANNONE PT, DPT, ATC
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6423
1780683946 VANESSA MARIE HODGE DPT, PT
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1629414339 UGOCHI OKOROAFOR-RIDGWAY MD
Individual
Orthopaedic Surgery8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6464
1003017286DR. GREG E GASKI MD
Individual
Orthopaedic Surgery8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6464
1023471141DR. NATALIE RAKESTRAW PT, DPT, OCS
Individual
Physical Therapist (Orthopedic)8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1659975878DR. EMILY ANASTASIA BLUM PT, DPT
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1104080050 JESSICA WERTZ DO
Individual
Family Medicine (Sports Medicine)8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 204-2626
1093335549 MONA ELSAYED
Individual
Occupational Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1598355224DR. LAURA D'COSTA PT, DPT, PAM-GC
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1154096766 MICHAEL DATILES DPT
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1013019868 ROBERT B STINGER MD
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 205-2626
1669142170 SHANNON HEALY DPT
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1013656941 THOMAS FINNEGAN RONAYNE DPT
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1255628350DR. CORINE LEIGH CREECH D.P.M.
Individual
Podiatrist (Foot Surgery)8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6464

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Anna Armistead Clinton Np is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.