THERESA JUANA-KAMANDA
NPI 1750096962
Nurse Practitioner - Family in Manassas, VA

Active since January 23, 2023PECOS EnrolledAccepts Medicare Assignment
10625 MCCORMICK FARM DR, MANASSAS, VA 20110(571) 306-8614 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Jan 23, 2023 (2 updates tracked since 2023).

About Theresa Juana-kamanda NPPES

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

THERESA JUANA-KAMANDA (NPI 1750096962) is an individual family provider in Manassas, Virginia, licensed in Virginia (2022068633) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1750096962
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA JUANA-KAMANDA
Location Address10625 MCCORMICK FARM DRManassas, VA 20110-6934
Mailing Address2 University Plz Ste 204Hackensack, NJ 07601-6211 · (551) 295-8223
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 23, 2023
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
NPI 1750096962 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 · 2022068633

Secondary Practice Locations 2

Location 139 V St NEWashington, DC 20002-1329 · Phone (551) 295-8223
Location 220130 Lakeview Center Plz Ste 400Ashburn, VA 20147-5905 · Phone (551) 295-8223

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

Theresa Juana-kamanda 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 ID3072974492
PECOS Enrollment IDI20230802001050, I20231205000248
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
446 services77 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
257 services150 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
146 services55 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
136 services90 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
18 services18 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20110 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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

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

Nurse Practitioner (Community Health)
10625 MCCORMICK FARM DR
MANASSAS, VA 20110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750096962, enumerated as an "individual" on January 23, 2023.

The provider is located at 10625 MCCORMICK FARM DR MANASSAS, VA 20110 and the phone number is (571) 306-8614.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.