Active NPI
Clark Anthony Laprelle II, PA-C
- Physician Assistant
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110010482
- Practice address
- 6354 Walker LN Ste 300
Alexandria, VA 22310-3252 - Phone
- (703) 810-5210
- NPI assigned
- Oct 14, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-11740 | NC | |
| Surgical Physician Assistant | 363AS0400X | PA60709306 | WA | |
| Physician Assistant | 363A00000X | 0110010482 | VA | Primary |
Addresses
Primary practice location
6354 Walker LN Ste 300
Alexandria, VA 22310-3252
Mailing address
PO Box 715868
Philadelphia, PA 19171-5868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, NC, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161209000692 | WA | Practitioner - Physician Assistant | 0345520375 | Reassigns benefits to 2 organizations |
| I20211221001867 | NC | Practitioner - Physician Assistant | 0345520375 | Reassigns benefits to 1 organization |
| I20241125001003 | DC | Practitioner - Physician Assistant | 0345520375 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-11740 | NC | MD | Physician Assistant |
| 0110010482 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harborview Medical Center | Current | Accepting new patients | |
| Unc Physicians Network, LLC | Current | Accepting new patients | |
| Orthovirginia, Inc | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Proliance Surgeons Inc., P.S. | Surgical | Current | Accepting new patients |
| Harborview Medical Center | Current | Accepting new patients | |
| Orthovirginia, Inc. | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Surgical | Current | Accepting new patients |
| Orthovirginia, Inc. | Past | Accepting new patients |
Locations
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624
6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210
1920 Ballenger Ave
Ste 200
Alexandria, VA 22314
Phone (703) 810-5209
4995 Westone Plz
Chantilly, VA 20151
Phone (571) 441-3980
13350 Franklin Farm Rd
Ste 220
Herndon, VA 20171
Phone (703) 471-5300
12911 120th Ave NE
Ste H210
Kirkland, WA 98034
Phone (425) 823-4000
12911 120th Ave NE
Ste H120
Kirkland, WA 98034
Phone (425) 823-4226
14841 179th Ave SE
Ste 330
Monroe, WA 98272
Phone (360) 794-3300
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000
Interoperability endpoints
- claprelle37436@direct.orthovirginia.com
Organizations & group practices 12
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.
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
-
- Multi-Specialty Clinic/Center
- MC Lean, VA
- NPI 1154946093
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1568557312
-
- General Practice Physician
- Morrisville, NC
- NPI 1558786830
-
- Family Medicine Physician
- Mebane, NC
- NPI 1700130754
-
- Multi-Specialty Clinic/Center
- North Chesterfield, VA
- NPI 1265470645
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Duke University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Orthovirginia Inc
Practice addresses (Care Compare)
6354 Walker Lane
Suite 300
Alexandria, VA 22310-3252
Phone (703) 810-5210
Hospital & facility affiliations
- Inova Alexandria Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1306396338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 715868",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191715868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6354 WALKER LN STE 300",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103252",
"telephone_number": "703-810-5210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPRELLE",
"first_name": "CLARK",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-14",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-11740",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA60709306",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110010482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.