DR. ASHLEY TENNYSON M.D.
NPI 1811283385
Family Medicine in Fairfax, VA
About Dr. Ashley Tennyson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ASHLEY TENNYSON M.D. (NPI 1811283385) is an individual family medicine provider in Fairfax, Virginia, licensed in Virginia (0116023409) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ashley Tennyson M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Ashley Tennyson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfax, VA 22033
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- Also billed through NPI 1699893537 (Virginia)
- 2,492 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
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 Ashley Tennyson's NPI number?
The NPI number for Ashley Tennyson is 1811283385. It was assigned to this individual provider in the NPPES registry on June 23, 2011.
Where is Ashley Tennyson located?
Ashley Tennyson practices at 12255 Fair Lakes Pkwy, Fairfax, VA 22033. The listed phone number is (703) 359-7878.
What is Ashley Tennyson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ashley Tennyson enrolled in Medicare?
Yes. Ashley Tennyson 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.
Which organization bills Medicare for Ashley Tennyson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Tennyson reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Fairfax, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Tennyson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ashley Tennyson was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Ashley Tennyson, M.D. · NPI 1811283385
Family Medicine physician in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since June 23, 2011.
## Identity
- **NPI:** 1811283385 (Entity type: Individual)
- **Enumerated:** June 23, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 0116023409 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12255 FAIR LAKES PKWY, Fairfax, VA 22033-3952
- **Phone:** (703) 359-7878
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1215058326, Fairfax, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** June 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1811283385) · Data from the CMS NPPES public registry.