Individual provider Active NPI

Alexandria Leigh Lundell, PA-C

  • Physician Assistant
  • Rockville, MD
National Provider Identifier
1164904330
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0008877 Issued in MD
Practice address
14995 Shady Grove Rd Ste 350
Rockville, MD 20850-8726
Phone
(301) 251-1433
Fax
(301) 424-5266
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0008877 MD Primary

Addresses

Primary practice location

14995 Shady Grove Rd Ste 350
Rockville, MD 20850-8726

Mailing address

14995 Shady Grove Rd Ste 350
Rockville, MD 20850-8726
Phone (301) 251-1433

Other names 1

  • Allie Lundell Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address orthoartesia@artesiageneral.hin.us Direct
Direct Messaging Address ortocarlsbad@artesiageneral.hin.us Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20181023003062 NM Practitioner - Physician Assistant 6204189145 Reassigns benefits to 1 organization
I20240213000969 DC Practitioner - Physician Assistant 6204189145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12850 Middlebrook Rd
Germantown, MD 20874-5255
Phone (301) 972-4752

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0008877MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jul 30, 2024 Accepting new patients
Johns Hopkins University CurrentSince Jan 2, 2024 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jul 30, 2024 Accepting new patients
Johns Hopkins University CurrentSince Jan 2, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Centers for Advanced Orthopaedics, LLC Past Accepting new patients
Artesia General Hospital Past Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

12850 Middlebrook Rd
Ste 307
Germantown, MD 20874
Phone (301) 972-4752

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

14995 Shady Grove Rd
Ste 350
Rockville, MD 20850
Phone (301) 294-0050

Interoperability endpoints

  • Direct secure messaging: alundell292686@direct.hopkinsmedicine.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1164904330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14995 SHADY GROVE RD STE 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508726",
            "telephone_number": "301-251-1433",
            "fax_number": "301-424-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14995 SHADY GROVE RD STE 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508726",
            "telephone_number": "301-251-1433",
            "fax_number": "301-424-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDELL",
        "first_name": "ALEXANDRIA",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "orthoartesia@artesiageneral.hin.us",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "606 N 13th St Ste 100",
            "city": "Artesia",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882101133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ortocarlsbad@artesiageneral.hin.us",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2411 Osborne Rd",
            "city": "Carlsbad",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882203265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALLIE",
            "last_name": "LUNDELL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.