MRS. JESSICA HARLEY FNP-C
NPI 1871052282
Nurse Practitioner - Family in Fairfax, VA
About Mrs. Jessica Harley Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JESSICA HARLEY FNP-C (NPI 1871052282) is an individual family provider in Fairfax, Virginia, licensed in Virginia (0024178915) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jessica Harley Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Harley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Leesburg, VA 20176
- Reassigned Medicare billing, Virginia enrollment
- 103 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 22030 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 22030
FAIRFAX, VA 22030
FAIRFAX, VA 22030
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 Jessica Harley's NPI number?
The NPI number for Jessica Harley is 1871052282. It was assigned to this individual provider in the NPPES registry on March 15, 2019.
Where is Jessica Harley located?
Jessica Harley practices at 4400 University Dr, Fairfax, VA 22030. The listed phone number is (703) 993-2831.
What is Jessica Harley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica Harley enrolled in Medicare?
Yes. Jessica Harley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Harley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Harley reassigns Medicare benefits to Commonwealth Emergency Physicians PC (Leesburg, 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 Jessica Harley'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 Jessica Harley was last updated on August 2, 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.
# Mrs. Jessica Harley, FNP-C · NPI 1871052282
Family physician in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since March 15, 2019.
## Identity
- **NPI:** 1871052282 (Entity type: Individual)
- **Enumerated:** March 15, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024178915 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4400 UNIVERSITY DR, Fairfax, VA 22030-4444
- **Phone:** (703) 993-2831
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Commonwealth Emergency Physicians PC (NPI 1598723082, Leesburg, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1871052282) · Data from the CMS NPPES public registry.