1. Home
  2. Directory
  3. Virginia
  4. Manassas
  5. Nurse Practitioner
  6. NPI Profile

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: August 30, 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
Phone(571) 306-8614
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 120130 Lakeview Center Plz Ste 400Ashburn, VA 20147-5905 · Phone (551) 295-8223
Location 239 V St NEWashington, DC 20002-1329 · 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 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.

VALLEY PRIMARY & BEHAVIORAL HEALTH CLINIC LLC
Nurse Practitioner (Community Health)
10625 MCCORMICK FARM DR
MANASSAS, VA 20110
Manassas City (571) 306-8614

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 Theresa Juana-kamanda's NPI number?

The NPI number for Theresa Juana-kamanda is 1750096962. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Where is Theresa Juana-kamanda located?

Theresa Juana-kamanda practices at 10625 Mccormick Farm Dr, Manassas, VA 20110. The listed phone number is (571) 306-8614.

What is Theresa Juana-kamanda's specialty?

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

Is Theresa Juana-kamanda enrolled in Medicare?

Yes. Theresa Juana-kamanda 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.

When was this NPI record last updated?

The NPPES record for Theresa Juana-kamanda was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.