Active NPI 1336134675 Individual Practitioner Female Practitioner

Toni Lynn Nelson , CFNP

Nurse Practitioner • Reston, VA

Professional Overview & Biography Verified Profile Summary

Toni Nelson, CFNP is a registered healthcare professional specializing in Nurse Practitioner in Reston, VA. Practice services are available at 11800 SUNRISE VALLEY DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of pneumococcal vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11800 Sunrise Valley Dr
Suite 700

Reston, VA 201915300

Telephone 7038341473

Fax 7033187463

Associated Practice Facility / Clinic

🏢 Joseph D. Madison, Dmd, Ltd. Facility NPI 1659567972

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Reston, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.3 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

20 Specialists

Practicing in Reston, VA (1750 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	112	$295.62	$106.35
99213 Established patient office or other outpatient visit, typically 15 minutes	99	74	$194.69	$74.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	96	96	$314.09	$114.41
G0009 Administration of pneumococcal vaccine	11	11	$67.18	$19.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	266	266	$321.00	$112.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	244	197	$304.00	$105.19
99213 Established patient office or other outpatient visit, typically 15 minutes	195	168	$206.00	$72.14
G0009 Administration of pneumococcal vaccine	40	40	$73.00	$19.06
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$195.00	$110.66
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$67.00	$16.82
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	19	19	$42.00	$17.48
G0008 Administration of influenza virus vaccine	19	19	$73.00	$19.06
81003 Automated urinalysis test	17	16	$8.00	$2.44
90670 Pneumococcal vaccine for injection into muscle	15	15	$385.00	$209.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	99	$304.00	$103.53
99213 Established patient office or other outpatient visit, typically 15 minutes	84	72	$206.00	$70.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	56	56	$321.00	$112.58
81003 Automated urinalysis test	21	19	$8.00	$2.71
G0008 Administration of influenza virus vaccine	20	20	$73.00	$23.72
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$42.00	$17.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$304.00	$103.19

Medical Specialties & State Licenses

CMS Verified: 2020-10-16

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License VA 0024138096

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

16 Associated Practitioners

Josiah Nguyen

Physician Assistant

NPI 1063300788

Jayne Vecchio

Dietitian, Registered

NPI 1073008256

Tanuja Sawhney

Physical Therapist

NPI 1083156509

Jennifer Randall , FNP

Nurse Practitioner - Family

NPI 1124631908

Family Nurse Practitioner

Dr. Geetanjali Jain , MSN, DNP, FNP-BC

Nurse Practitioner - Family

NPI 1124653589

Master of Science in Nursing, Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Gena Leatzow , FNP

Nurse Practitioner - Family

NPI 1174001747

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 03, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 03, 2014

Registered at 11800 SUNRISE VALLEY DR, SUITE 700, RESTON, VA 201915300 (Tel: 7038341473)

📍

Updated Business Mailing Address October 03, 2014

Registered at 12011 LEE JACKSON MEMORIAL HWY, SUITE 504, FAIRFAX, VA 220333310 (Tel: 7033912030)

👤

Provider Name / Credentials Updated October 03, 2014

Recorded as TONI NELSON, CFNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2014

Nurse Practitioner (License #0024138096 in VA)

🟢

Initial NPI Registration & Enumeration September 13, 2005

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: 1336134675

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 13, 2005

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12011 Lee Jackson Memorial Hwy, Suite 504

Fairfax, VA 220333310

Phone: 7033912030

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.