Individual provider Active NPI

Marianne Elise Crowley, FNP-BC

  • Nurse Practitioner
  • Leesburg, VA
National Provider Identifier
1275400210
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024194718 Issued in VA
Practice address
19450 Deerfield Avenue, Suite 325
Leesburg, VA 20176-8503
Phone
(703) 202-1111
Fax
(571) 291-2966
NPI assigned
Oct 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024194718 VA Primary

Addresses

Primary practice location

19450 Deerfield Avenue, Suite 325
Leesburg, VA 20176-8503

Mailing address

224D Cornwall St NW Ste 403
Leesburg, VA 20176-2704
Phone (703) 737-6010

Other identifiers 2

IdentifierTypeStateIssuer
0024194718MedicaidVA
30018485530001MedicaidVA

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20251208002366 DC Practitioner - Nurse Practitioner 7911491907 Reassigns benefits to 1 organization
I20260114000831 VA Practitioner - Nurse Practitioner 7911491907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians

Practice addresses (Care Compare)

19450 Deerfield Ave
Suite 325
Leesburg, VA 20176-8503
Phone (703) 202-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024194718VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Medical Group, PC CurrentSince Jan 1, 2026 Accepting new patients
Loudoun Medical Group, PC CurrentSince Jan 1, 2026 Accepting new patients

Locations

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

19465 Deerfield Ave
Ste 405
Leesburg, VA 20176
Phone (703) 858-1800

19450 Deerfield Ave
Ste 325
Leesburg, VA 20176
Phone (571) 252-8119

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

Interoperability endpoints

  • Direct secure messaging: marianne.crowley.1@27239.direct.athenahealth.com

Organizations & group practices 3

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": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1275400210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224D CORNWALL ST NW STE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6010",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19450 DEERFIELD AVENUE, SUITE 325",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768503",
            "telephone_number": "703-202-1111",
            "fax_number": "571-291-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "MARIANNE",
        "middle_name": "ELISE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024194718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0024194718",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30018485530001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.