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

Elisabeth Anne Boettke, NP

Individual provider Family Nurse Practitioner · NPI 1285587378

Elisabeth Anne Boettke, NP is a Nurse Practitioner in Herndon, Virginia. Graduated from University of South Alabama College of Medicine in 2025, 1 year ago. Practices with Fairfax Family Practice Centers PC, a 106-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
1
Trained at
University of South Alabama College of Medicine
Licensed in
VA
In the registry since
2026
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

381 Elden St Ste 1000
Herndon, VA 20170-4842
Phone: (703) 424-4671
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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 0024196642 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001268093 (VA)

Record details

NPI number1285587378
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 18, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Fairfax Family Practice Centers Pc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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