Maryjean Richner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110011634 Issued in VA

Practice address

1340 Old Chain Bridge Rd Ste 101
MC Lean, VA 22101-3909

Phone

(703) 893-2273

Fax

(703) 893-4559

NPI assigned

Dec 21, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, FL, DC, VA4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Physician Assistant

Education

Georgetown University School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians

Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inova Ucc LLC

  • Urgent Care Clinic/Center
  • Vienna, VA
  • NPI 1508592114

  DC

  Medicare reassignment Care Compare group NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Worcester, MA
  • NPI 1790528628
  Medicare reassignment Care Compare group NPD
• Boston Neurobehavioral Associates, LLC

  • Psychiatry Physician
  • New Bedford, MA
  • NPI 1558415307

  FL

  Medicare reassignment
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Sturbridge, MA
  • NPI 1386526192
  NPD
• Loudoun Medical Group, PC

  • Internal Medicine Physician
  • Leesburg, VA
  • NPI 1679591440
  NPD (past)
• National Neurobehavioral Associates PC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Irvington, NJ
  • NPI 1144193293
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1073225058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 OLD CHAIN BRIDGE RD STE 101",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013909",
            "telephone_number": "703-893-2273",
            "fax_number": "703-893-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 OLD CHAIN BRIDGE RD STE 101",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013909",
            "telephone_number": "703-893-2273",
            "fax_number": "703-893-4559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Cochituate Rd",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017014627",
            "country_code": "US",
            "telephone_number": "774-244-3227",
            "fax_number": "774-244-4916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHNER",
        "first_name": "MARYJEAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110011634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Ricard, PA-C
• Reyna A Rice, LPC
• Richard M. Davidson, OD PC
• Alexandra Marie Richardson
• Dayshia Richmond, BA
• Melinda Dawn Ricker, PA-C
• Aubry Ridpath, D.P.T
• Monica Riley, MD
• Helga Edith Rippen, MD, PHD, MPH
• Risa E. Sanders, PH.D., PLLC

• Physician Assistant in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.