Individual provider Active NPI

Clark Anthony Laprelle II, PA-C

  • Physician Assistant
  • Alexandria, VA
National Provider Identifier
1306396338
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110010482 Issued in VA
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

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
0010-11740NCMDPhysician Assistant
0110010482VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Harborview Medical Center CurrentSince May 16, 2019 Accepting new patients
Unc Physicians Network, LLC CurrentSince Nov 15, 2021 Accepting new patients
Orthovirginia, Inc CurrentSince Dec 2, 2024 Accepting new patients
Unc Physicians Network LLC CurrentSince Nov 15, 2021 Accepting new patients
Proliance Surgeons Inc., P.S. Surgical CurrentSince Nov 22, 2016 Accepting new patients
Harborview Medical Center CurrentSince May 16, 2019 Accepting new patients
Orthovirginia, Inc. CurrentSince Dec 2, 2024 Accepting new patients
Proliance Surgeons Inc P S Surgical CurrentSince Nov 22, 2016 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

  • Direct secure messaging: 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.

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 570 clinicians

Practice addresses (Care Compare)

6354 Walker Lane
Suite 300
Alexandria, VA 22310-3252
Phone (703) 810-5210

Hospital & facility affiliations

  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

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

Verify at the official NPI Registry.