BANCHIRGA ERMIAS WOLDESADIK FNP
NPI 1861960254
Nurse Practitioner - Family in Falls Church, VA

Active since November 05, 2018PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-4001(703) 776-7113 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 22, 2024, Nov 5, 2018 (2 updates tracked since 2018).

About Banchirga Ermias Woldesadik Fnp NPPES

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

BANCHIRGA ERMIAS WOLDESADIK FNP (NPI 1861960254) is an individual family provider in Falls Church, Virginia, licensed in Virginia (0024184230) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1861960254
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBANCHIRGA ERMIAS WOLDESADIKCredential: FNP
Location Address3300 GALLOWS RDFalls Church, VA 22042-3307
Mailing Address3300 Gallows Rd Dept OfFalls Church, VA 22042-3307 · (703) 776-3582 · Fax (571) 665-6492
Fax(703) 776-7113
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 5, 2018
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
NPI 1861960254 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
Licenses Licensed in VA · 0024184230 Licensed in NY · 343811
3300 GALLOWS RD, Falls Church, VA 22042

Secondary Practice Location 1

Location 11555 Long Pond RdRochester, NY 14626-4122 · Phone (585) 723-7870 · Fax (585) 723-7871

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

Banchirga Ermias Woldesadik Fnp 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 ID2264773084
PECOS Enrollment IDI20230411002537, I20230412002093
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22042 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.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

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.

Pathology (Clinical Pathology/Laboratory Medicine)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pathology (Anatomic Pathology & Clinical Pathology)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pathology (Anatomic Pathology)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pathology (Anatomic Pathology & Clinical Pathology)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pathology (Anatomic Pathology & Clinical Pathology)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pathology (Anatomic Pathology & Clinical Pathology)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pathology (Anatomic Pathology & Clinical Pathology)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pathology (Blood Banking & Transfusion Medicine)
3300 GALLOWS RD
FALLS CHURCH, VA 22042

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861960254, enumerated as an "individual" on November 05, 2018.

The provider is located at 3300 GALLOWS RD FALLS CHURCH, VA 22042 and the phone number is (703) 776-4001.

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

Banchirga Woldesadik is affiliated with: INOVA FAIRFAX HOSPITAL.