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Active NPI 1104640887 Individual Practitioner Female Practitioner

Ashlyn Wallace , FNP-C

Nurse Practitioner - Family • Fairfax, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ashlyn Wallace, FNP-C is a certified Nurse Practitioner - Family practicing in Fairfax, VA. With approximately 2 years of clinical experience since graduating from Georgetown University School Of Medicine in 2024, Ashlyn Wallace delivers high-quality medical care to the local community at 8613 ROUTE 29 STE 200N.

Ashlyn Wallace is affiliated with Virginia Cancer Specialists, P.C. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

8613 Route 29 Ste 200n

Fairfax, VA 220312171

Telephone 5713508400
Fax 7032809596

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Fairfax, VA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -6.6 yrs vs City Avg
City Avg: 8.6 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
240 Specialists

Practicing in Fairfax, VA (6541 Statewide)

Telehealth Adoption Rate
25.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (2 Years) 2 Yrs
Fairfax Specialty Average (8.6 Years) 8.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-11-11
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License VA 0024191724

Definition to come...

Hospital & Practice Group Affiliations

Virginia Cancer Specialists, P.c.

9450 Innovation Dr, Manassas, VA 201102214

Phone: 5713508400

Virginia Cancer Specialists, P.c.

4660 Kenmore Ave, Alexandria, VA 223041306

Phone: 5714831800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1023987831

Physician Assistant (Certified), MPA, BIS

Dr. John Feigert , MD

Internal Medicine - Hematology & Oncology

NPI 1033174560

Doctor of Medicine (M.D.)

Sara Mckay , PA-C

Physician Assistant - Surgical

NPI 1043087125

Physician Assistant (Certified)

Dr. Gregory Sibley , MD

Radiology - Radiation Oncology

NPI 1043211360

Doctor of Medicine (M.D.)

NPI 1043576804

Doctor of Medicine (M.D.)

Dr. Danijela Jelovac , MD

Internal Medicine - Medical Oncology

NPI 1053593582

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location November 11, 2025

Registered at 8613 ROUTE 29 STE 200N, FAIRFAX, VA 220312171 (Tel: 5713508400)

NPI Profile Active November 11, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2024

Registered at 8613 LEE HIGHWAY, SUITE 101, FAIRFAX, VA 22031 (Tel: 5713508400)

📍
Updated Business Mailing Address November 11, 2024

Registered at 3040 WILLIAMS DR STE 100, FAIRFAX, VA 220314618

👤
Provider Name / Credentials Updated November 11, 2024

Recorded as ASHLYN WALLACE, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2024

Nurse Practitioner (License #0024191724 in VA)

🟢
Initial NPI Registration & Enumeration November 11, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104640887
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2024
Last Update: November 11, 2025
Sole Proprietor: No

Mailing Address

3040 Williams Dr Ste 100

Fairfax, VA 220314618

Phone: 5713508400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.