Amy Feldman, PA-C
Individual provider Active NPI Physician Assistant · MC Lean, VA
NPI 1164976338 · NPPES record last updated May 14, 2021
Key facts
- NPI
- 1164976338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110007800 (VA)
- Practice address
- 6824 Elm St Ste 120
MC Lean, VA 22101-3866 - Phone
- (703) 992-7065
- NPI assigned
- Aug 5, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anita N Wasan MD PLC
Practice addresses (Care Compare)
6824 Elm St
MC Lean, VA 22101-3866
Phone (703) 992-7065
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230515001932 | DC | Practitioner - Physician Assistant | 2860778446 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110007800 | VA | Yes |
Addresses
Primary practice location
6824 Elm St Ste 120
MC Lean, VA 22101-3866
Mailing address
6824 Elm St
Ste 120
MC Lean, VA 22101-3866
Phone (801) 408-8654
Other names
- Amy Lan Nguyen
Other providers in MC Lean, VA
- Najam Geerman Fasihi
- Christina Fath
- Katherine M Feaganes
- Brian Andrew Feeney
- Feiliu LLC
- Huiyan Feng
- Daniela S Fernandes
- Iva Ferreira
- Rebecca B Ferrer
- Jennifer Alexis Ferrufino
All providers in MC Lean, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.