DR. ABAYNEH ERMIAS WELDETSADIK NURSE PRACTITIONER
NPI 1790011591
Nurse Practitioner - Family in Herndon, VA

Active since October 29, 2009PECOS EnrolledAccepts Medicare Assignment
87.2/100
CMS Quality Rating
1062 ELDEN ST, HERNDON, VA 20170(703) 471-7000 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Abayneh Ermias Weldetsadik Nurse Practitioner NPPES

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

DR. ABAYNEH ERMIAS WELDETSADIK NURSE PRACTITIONER (NPI 1790011591) is an individual family provider in Herndon, Virginia, licensed in Virginia (0024184586) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1790011591
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. ABAYNEH ERMIAS WELDETSADIKCredential: NURSE PRACTITIONER
Location Address1062 ELDEN STHerndon, VA 20170-3803
Mailing Address43608 White Cap TerChantilly, VA 20152-5802 · (585) 750-7024
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 29, 2009
Last NPPES UpdateJuly 29, 2022
NPPES CertifiedJuly 29, 2022
NPI 1790011591 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 · 0024184586
1062 ELDEN ST, Herndon, VA 20170

Secondary Practice Location 1

Location 195 Fort Hill Ter, APT # 4Rochester, NY 14620-4228 · Phone (585) 750-7024

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

Dr. Abayneh Ermias Weldetsadik Nurse Practitioner 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 ID1951770106
PECOS Enrollment IDI20221209000195, I20221220002155
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.

Hospital Affiliations CMS Care Compare 2

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20170 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.74
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
1062 ELDEN ST
HERNDON, VA 20170
Nurse Practitioner (Family)
1062 ELDEN ST
HERNDON, VA 20170
Pharmacist
1062 ELDEN ST
HERNDON, VA 20170
Pharmacist
1062 ELDEN ST
HERNDON, VA 20170
Pharmacy
1062 ELDEN ST
HERNDON, VA 20170
Pharmacist
1062 ELDEN ST
HERNDON, VA 20170
Nurse Practitioner (Family)
1062 ELDEN ST
HERNDON, VA 20170

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 Abayneh Weldetsadik's NPI number?

The NPI number for Abayneh Weldetsadik is 1790011591. It was assigned to this individual provider in the NPPES registry on October 29, 2009.

Where is Abayneh Weldetsadik located?

Abayneh Weldetsadik practices at 1062 Elden St, Herndon, VA 20170. The listed phone number is (703) 471-7000.

What is Abayneh Weldetsadik's specialty?

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

Is Abayneh Weldetsadik enrolled in Medicare?

Yes. Abayneh Weldetsadik 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.

Is Abayneh Weldetsadik affiliated with any hospitals?

According to CMS data, Abayneh Weldetsadik is affiliated with Inova Fairfax Hospital and Inova Fair Oaks Hospital.

When was this NPI record last updated?

The NPPES record for Abayneh Weldetsadik was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.