Individual provider Active NPI

Christine Ember Lienau, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • MC Lean, VA
National Provider Identifier
1235731183
Registry record updated Nov 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110007551 Issued in VA
Practice address
8200 Greensboro Dr Ste 801
MC Lean, VA 22102-4925
Phone
(703) 942-9787
Fax
(703) 563-3824
NPI assigned
Nov 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110007551 VA Primary

Addresses

Primary practice location

8200 Greensboro Dr Ste 801
MC Lean, VA 22102-4925

Mailing address

8200 Greensboro Dr Ste 801
MC Lean, VA 22102-4925
Phone (703) 717-3180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201118000244 DC Practitioner - Physician Assistant 6709297039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luxe Dermatology and Aesthetic Center, PLLCGroup PAC ID 6800128034, 4 clinicians

Practice addresses (Care Compare)

8200 Greensboro Dr
Suite 801
MC Lean, VA 22102-4925
Phone (703) 942-9787

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as group
Quality
93.89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110007551VAMDMedical Physician Assistant

Organizations & group practices 1

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": "1605312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1235731183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 GREENSBORO DR STE 801",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024925",
            "telephone_number": "703-717-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 GREENSBORO DR STE 801",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024925",
            "telephone_number": "703-942-9787",
            "fax_number": "703-563-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIENAU",
        "first_name": "CHRISTINE",
        "middle_name": "EMBER",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-14",
        "last_updated": "2020-11-14",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110007551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.