Chantilly Wellness Group, LLC
NPI 1992541890 · Pediatric Nurse Practitioner · Chantilly, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Chantilly Wellness Group, LLC is a Pediatric Nurse Practitioner organization in Chantilly, VA (NPI 1992541890).
Provider details
- NPI number
- 1992541890
- Entity type
- Organization
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Emily Derocco, Secretary(620) 504-2434
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-07-01
- Last updated
- 2025-04-28
- Certified
- 2025-04-28
Frequently asked questions
- What is Chantilly Wellness Group, LLC's NPI number?
- Chantilly Wellness Group, LLC's National Provider Identifier (NPI) is 1992541890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chantilly Wellness Group, LLC?
- Chantilly Wellness Group, LLC is classified in the NPPES registry as Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Chantilly Wellness Group, LLC located?
- Chantilly Wellness Group, LLC's practice location on file with NPPES is 4200a Technology Ct, Chantilly, VA 20151-1214.
- What is Chantilly Wellness Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Chantilly Wellness Group, LLC is (540) 709-1737.
- Does Chantilly Wellness Group, LLC accept Medicare?
- Chantilly Wellness Group, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Chantilly Wellness Group, LLC?
- The authorized official listed on Chantilly Wellness Group, LLC's NPPES record is Emily Derocco, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chantilly Wellness Group, LLC's NPI active?
- Yes — Chantilly Wellness Group, LLC's NPI (1992541890) is active in the NPPES registry as of the last update on 2025-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.