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MS. ANN L KOMELASKY CRNP
NPI 1720156128
Nurse Practitioner in Manassas, VA

Active since December 01, 2006
11730 SUDLEY MANOR DRIVE, MANASSAS, VA 20109(703) 257-3001(703) 257-3133 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Ann L Komelasky Crnp NPPES

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

MS. ANN L KOMELASKY CRNP (NPI 1720156128) is an individual nurse practitioner in Manassas, Virginia, licensed in Virginia (0001069512) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1720156128
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. ANN L KOMELASKYCredential: CRNP
Location Address11730 SUDLEY MANOR DRIVEManassas, VA 20109-2843
Mailing AddressKaiser Permanente Mid Atlantic Permanente Medical Group, 2101 E Jefferson St Ppqa Medicare Compliance Unit 6 WRockville, MD 20852-4908 · (301) 816-6660 · Fax (301) 816-6308
Phone(703) 257-3001
Fax(703) 257-3133
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720156128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in VA · 0001069512✔ Licensed in VA · 0024069512
Definition
(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.
11730 SUDLEY MANOR DRIVE, Manassas, VA 20109
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Other Identifiers 2

Medicare UPINP86483
Medicare ID-Type Unspecified003249K32

Other Providers at the Same Location NPPES 2

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

DR. EVELYN ANNA RUELAZ M.D.
Obstetrics & Gynecology
11730 SUDLEY MANOR DRIVE
MANASSAS, VA 20109
Prince William County (703) 257-3001
MS. KATHLEEN T MOFFITT CERTIFIED NURSE MIDW
Nurse Practitioner
11730 SUDLEY MANOR DRIVE
MANASSAS, VA 20109
Prince William County (703) 257-3001

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 Ann Komelasky's NPI number?

The NPI number for Ann Komelasky is 1720156128. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Ann Komelasky located?

Ann Komelasky practices at 11730 Sudley Manor Drive, Manassas, VA 20109. The listed phone number is (703) 257-3001.

What is Ann Komelasky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Ann Komelasky was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.