Johanne Mae Waggy, NP - Medicare Nurse Practitioner in Fairfax, VA

Johanne Mae Waggy, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Fairfax, Virginia. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vitas Solutions Inc, Vitas Solutions Inc and her current practice location is 3251 Old Lee Hwy Ste 200, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (877) 868-4827.

Johanne Mae Waggy is licensed to practice in Virginia (license number 0024177230) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1366001018.

Contact Information

Johanne Mae Waggy, NP
3251 Old Lee Hwy Ste 200,
Fairfax, VA 22030-1504
(877) 868-4827
Not Available

Map and Direction




Provider's Profile

Full NameJohanne Mae Waggy
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location3251 Old Lee Hwy Ste 200, Fairfax, Virginia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Johanne Mae Waggy graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1366001018
  • Provider Enumeration Date: 06/06/2019
  • Last Update Date: 03/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4789912106
  • Enrollment ID: I20210128000331

Medical Identifiers

Medical identifiers for Johanne Mae Waggy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366001018NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 0024177230 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Prince William Medical CenterManassas, VAHospital
Novant Health Uva Health Haymarket Medical CenterHaymarket, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vitas Solutions Inc701208716636
Vitas Solutions Inc701208716636

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Johanne Mae Waggy allows following entities to bill medicare on her behalf.
Entity NameVitas Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861666497
PECOS PAC ID: 7012087166
Enrollment ID: O20150203001093

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johanne Mae Waggy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Johanne Mae Waggy, NP
9554 Sunnyslope Dr,
Manassas, VA 20112-2735

Ph: (703) 475-9591
Johanne Mae Waggy, NP
3251 Old Lee Hwy Ste 200,
Fairfax, VA 22030-1504

Ph: (877) 868-4827

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.