Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Brandi Renee Fossum, ACNPC-AG, RNFA, CNOR

Individual provider Registered Nurse · NPI 1265852032

Mrs. Brandi Renee Fossum, ACNPC-AG, RNFA, CNOR is a Nurse Practitioner in Woodbridge, Virginia. Qualified in 2019, 7 years ago. Practices with Centers for Advanced Orthopaedics LLC, a 598-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
7
Licensed in
VA
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

14605 Potomac Branch Dr
Woodbridge, VA 22191-3336
Phone: (703) 490-1112
Fax: (703) 878-8735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 0024178671 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001219358 (VA)
Registered Nurse First Assistant Taxonomy 163WR0006X · Licence 0001219358 (VA)

Record details

NPI number1265852032
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG , RNFA , CNOR
Sole proprietorYes
NPI enumeratedApril 21, 2014
Last updated in NPPESJanuary 24, 2020
Certification dateJanuary 24, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Centers For Advanced Orthopaedics Llc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Woodbridge