Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johanne Mae Waggy, NP

Individual provider Gerontology Nurse Practitioner · NPI 1366001018

Johanne Mae Waggy, NP is a Gerontology Nurse Practitioner in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2019.

Licensed in
VA
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3251 Old Lee Hwy Ste 200
Fairfax, VA 22030-1504
Phone: (877) 868-4827
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 0024177230 (VA)

Record details

NPI number1366001018
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 6, 2019
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients152
Services billed 355 a service is one billed item, such as a visit, a test or a procedure
Average patient age81

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Other providers in Fairfax