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

Donna Bambach

Individual provider Family Nurse Practitioner · NPI 1629702568

Donna Bambach is a Nurse Practitioner in Alexandria, Virginia. Qualified in 2022, 4 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2022
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Practice location Address checks out

5226 Dawes Ave
Alexandria, VA 22311-1404
Phone: (703) 212-9190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F07220953 (VA)

Record details

NPI number1629702568
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2022
Last updated in NPPESJuly 15, 2022
Certification dateJuly 1, 2022
Mailing address79 Potomac Ave Se Apt 410, Washington, DC 20003-3683

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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