Toni Lynn Nelson, CFNP - Medicare Nurse Practitioner in Reston, VA

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Toni Lynn Nelson, CFNP is a medicare enrolled "Nurse Practitioner" in Reston, Virginia. Her current practice location is 11800 Sunrise Valley Dr, Suite 700, Reston, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 834-1473.

Toni Lynn Nelson is licensed to practice in Virginia (license number 0024138096) 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 1336134675.

Contact Information

Toni Lynn Nelson, CFNP
11800 Sunrise Valley Dr, Suite 700,
Reston, VA 20191-5300
(703) 834-1473
(703) 318-7463

Map and Direction




Provider's Profile

Full NameToni Lynn Nelson
GenderFemale
SpecialityNurse Practitioner
Location11800 Sunrise Valley Dr, Reston, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336134675
  • Provider Enumeration Date: 09/13/2005
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3870557697
  • Enrollment ID: I20041112000072

Medical Identifiers

Medical identifiers for Toni Lynn Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336134675NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 0024138096 (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. Toni Lynn Nelson allows following entities to bill medicare on her behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20050422000298
Entity NameInova Physician Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Toni Lynn Nelson 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
Toni Lynn Nelson, CFNP
12011 Lee Jackson Memorial Hwy, Suite 504,
Fairfax, VA 22033-3310

Ph: (703) 391-2030		Toni Lynn Nelson, CFNP
11800 Sunrise Valley Dr, Suite 700,
Reston, VA 20191-5300

Ph: (703) 834-1473

Reviews and Comments


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Louise C Ritz, NP
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Mary Joseph Frickel, CFNP
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Ms. Dana Jones-sheppard, NP-C
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Practice Location: 12040 S Lakes Dr Ste 204, Reston, VA 20191
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Mrs. Martha F Zier, CRNP
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Phone: 703-709-1500    Fax: 703-709-1711

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.