Individual provider Active NPI

Angelic Marie Lee, APRN

  • Family Nurse Practitioner
  • Herndon, VA
National Provider Identifier
1225839038
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024189716 Issued in VA
Practice address
2978 Centreville Rd
Herndon, VA 20171-6253
Phone
(703) 934-5000
NPI assigned
Mar 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0024189716 VA
Family Nurse Practitioner 363LF0000X 0024189716 VA Primary

Addresses

Primary practice location

2978 Centreville Rd
Herndon, VA 20171-6253

Mailing address

14 Worthington CT
Sterling, VA 20165-6014
Phone (210) 416-1553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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
I20250514002272 VA Practitioner - Nurse Practitioner 1951829829 Reassigns benefits to 2 organizations
I20250514003362 DC Practitioner - Nurse Practitioner 1951829829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Internal Medicine IncGroup PAC ID 4082869250, 101 clinicians

Practice addresses (Care Compare)

2200 Landover PL
Lynchburg, VA 24501-2116
Phone (434) 846-4626

2978 Centreville Rd
Herndon, VA 20171-6253
Phone (703) 934-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024189716VAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Internal Medicine Inc CurrentSince May 7, 2025 Accepting new patients
Pai Participant 1 LLC CurrentSince Sep 23, 2025 Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

9640 Burke Lake Rd
Burke, VA 22015
Phone (347) 761-7200

3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

2978 Centreville Rd
Herndon, VA 20171
Phone (703) 825-0209

2200 Landover Pl
Lynchburg, VA 24501
Phone (434) 846-4626

46531 Leesburg Pike
Sterling, VA 20164
Phone (703) 834-5800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1225839038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WORTHINGTON CT",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656014",
            "telephone_number": "210-416-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2978 CENTREVILLE RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201716253",
            "telephone_number": "703-934-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANGELIC",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024189716",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024189716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.