Mary Elizabeth Walker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110007139 Issued in VA

Practice address

19465 Deerfield Ave Ste 405
Leesburg, VA 20176-1707

Phone

(703) 858-1800

Fax

(703) 858-1801

NPI assigned

Apr 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mary Elizabeth Griffith Former name

Medicare fee-for-service enrollment

Enrolled in MD, VA2 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 2

Specialty

Physician Assistant

Education

University of Pittsburgh School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The National Sports Medicine Institute,PCGroup PAC ID 5597842096, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwalker1152473@soc.inova.org

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.

• The National Sports Medicine Institute,PC

  • Orthopaedic Surgery Physician
  • Lansdowne, VA
  • NPI 1790815645

  MD

  Medicare reassignment Care Compare group
• Valley Physician Enterprise, Inc

  • Surgery Physician
  • Winchester, VA
  • NPI 1538316203
  Medicare reassignment
• Winchester Medical Center

  • Critical Care Medicine (Internal Medicine) Physician
  • Winchester, VA
  • NPI 1679711261
  Medicare reassignment
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187
  Medicare reassignment
• Valley Physician Enterprise, Inc.

  • Obstetrics & Gynecology Physician
  • Winchester, VA
  • NPI 1255222535
  NPD
• Valley Physician Enterprise, Inc.

  • Pulmonary Disease Physician
  • Winchester, VA
  • NPI 1578021317
  NPD
• Winchester Medical Center

  • Pediatrics Physician
  • Winchester, VA
  • NPI 1013874742
  NPD
• Winchester Medical Center

  • Orthopaedic Surgery Physician
  • Winchester, VA
  • NPI 1902697568
  NPD
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD
• National Sports Medicine Institute

  • Physical Therapy Clinic/Center
  • Lansdowne, VA
  • NPI 1447645551
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Harbor Hospital

  • Multi-Specialty Clinic/Center
  • Baltimore, MD
  • NPI 1831110873
  NPD (past)

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1104169549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE STE 405",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761707",
            "telephone_number": "703-858-1800",
            "fax_number": "703-858-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE STE 405",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761707",
            "telephone_number": "703-858-1800",
            "fax_number": "703-858-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C05036",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GRIFFITH",
            "middle_name": "ELIZABETH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abigail K Waldron
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Joan Walker, RN,C
• Meghan Wilmoth Walker, LPC
• Taryn Walker, PSY.D.
• Jennifer Lauren Wall, LPC
• Kristin Wallner, M.A. CCC-SLP
• Angela Karee Walloga, LCSW

• Physician Assistant in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.