CARLA KARIM REYNOSO
NPI 1972123602
Nurse Practitioner - Family in Manassas, VA

Q: What is Carla Reynoso's NPI number?

The NPI number for Carla Reynoso is 1972123602. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Q: What is Carla Reynoso's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carla Reynoso was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 22, 2020PECOS Enrolled

8100 ASHTON AVE STE 200, MANASSAS, VA 20109(877) 415-4116(571) 581-0803 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2021, Apr 22, 2020 (2 updates tracked since 2020).

On this page

About Carla Karim Reynoso NPPES

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

CARLA KARIM REYNOSO (NPI 1972123602) is an individual family provider in Manassas, Virginia, licensed in Virginia (0024181552) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Reston Hospital Center, and maintains a secondary practice location in Burke.

NPPES Registry Identity

NPI1972123602

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCARLA KARIM REYNOSO

Location Address8100 ASHTON AVE STE 200Manassas, VA 20109-5688

Mailing Address10066 Apple Wood CtBurke, VA 22015-2726 · (703) 298-6481

Phone(877) 415-4116

Fax(571) 581-0803

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 22, 2020

Last NPPES UpdateOctober 23, 20252 updates tracked since enumeration

NPPES CertifiedOctober 23, 2025

✔ NPI 1972123602 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 · 0024181552

8100 ASHTON AVE STE 200, Manassas, VA 20109

Open in Google Maps ↗

Secondary Practice Location 1

Location 110066 Apple Wood CtBurke, VA 22015-2726 · Phone (703) 298-6481

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carla Karim Reynoso is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305231028

PECOS Enrollment IDI20220316001294, I20240403001633

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

288 services233 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

106 services99 patients

Hospital Affiliations CMS Care Compare

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

Reston Hospital Center

Acute Care Hospitals · Reston, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490107

Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20109 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 20

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

ANGELLENA ARQUETTE-OVERMAN PA

Physician Assistant (Medical)