Kaelin Jennison, RN, FNP-BC in Vienna, VA - Medicare Nurse Practitioner

Kaelin Jennison, RN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Vienna, Virginia. Her current practice location is 115 Park St Se Ste 300, Vienna, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 255-9100.

Kaelin Jennison is licensed to practice in Virginia (license number 0024187529) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487306478.

Contact Information

	Kaelin Jennison, RN, FNP-BC
	115 Park St Se Ste 300, Vienna, VA 22180-4653
	(703) 255-9100
	(703) 255-3457

Map and Direction

Provider's Profile

Full Name	Kaelin Jennison
Gender	Female
Speciality	Nurse Practitioner - Family
Location	115 Park St Se Ste 300, Vienna, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487306478
Provider Enumeration Date: 01/21/2022
Last Update Date: 12/28/2023

Medicare PECOS Information:

PECOS PAC ID: 7214387521
Enrollment ID: I20231228003875

Medical Identifiers

Medical identifiers for Kaelin Jennison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487306478	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0001280015 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	0024187529 (Virginia)	Primary

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. Kaelin Jennison allows following entities to bill medicare on her behalf.

Entity Name	Inova Physician Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215264916 PECOS PAC ID: 2466581772 Enrollment ID: O20100525000846

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. Kaelin Jennison 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 Address	Practice Location Address
Kaelin Jennison, RN, FNP-BC 115 Park St Se Ste 300, Vienna, VA 22180-4653 Ph: (703) 255-9100	Kaelin Jennison, RN, FNP-BC 115 Park St Se Ste 300, Vienna, VA 22180-4653 Ph: (703) 255-9100

Reviews and Comments

Nurse Practitioner Nurses in Vienna, VA

Rebecca S. Browne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Park St Se # 205300, Vienna, VA 22180 Phone: 703-255-9100 Fax: 703-255-3457
Mrs. Peggy S Thurston, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 Maple Ave W, 5, Vienna, VA 22180 Phone: 703-938-2244 Fax: 703-938-3669
Emily Janice Mastromatteo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 East St Se Ste 301, Vienna, VA 22180 Phone: 703-938-5555
Shawn David Rohan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8357 Leesburg Pike, Vienna, VA 22182 Phone: 571-665-6440
Ms. Cathryn R Burgess, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 380 Maple Ave W, Suite L-3, Vienna, VA 22180 Phone: 703-319-3200 Fax: 703-319-3200
Rachel Palenski, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8302 Old Courthouse Rd Ste C, Vienna, VA 22182 Phone: 703-462-8138
Ivan Racadag, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1604 Spring Hill Rd, Suite 450, Vienna, VA 22182 Phone: 571-599-5643 Fax: 703-270-4350

Kaelin Jennison, RN, FNP-BC - Medicare Nurse Practitioner in Vienna, VA