Individual provider Active NPI

Meagan Ulrich, NP

  • Family Nurse Practitioner
  • Leesburg, VA
National Provider Identifier
1407409188
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024177917 Issued in VA
Practice address
163 Fort Evans Rd NE
Leesburg, VA 20176-4420
Phone
(703) 443-2000
Fax
(703) 433-2033
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024177917 VA Primary

Addresses

Primary practice location

163 Fort Evans Rd NE
Leesburg, VA 20176-4420

Mailing address

163 Fort Evans Rd NE
Leesburg, VA 20176-4420
Phone (703) 443-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20191019000015 VA Practitioner - Nurse Practitioner 0941531107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loudoun Community Health CenterGroup PAC ID 5193822930, 11 clinicians

Practice addresses (Care Compare)

163 Fort Evans Rd NE
Leesburg, VA 20176-4420
Phone (703) 433-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024177917VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Community Health Center CurrentSince Jul 27, 2019 Accepting new patients
Loudoun Community Health Center Current Accepting new patients

Locations

1141 Elden St
Ste 300
Herndon, VA 20170
Phone (703) 481-8160

13800 Wall Rd
Ste 55
Herndon, VA 20171

163 Fort Evans Rd NE
Leesburg, VA 20176
Phone (703) 433-2000

11484 Washington Plz W
Ste 300
Reston, VA 20190
Phone (703) 689-2180

21641 Ridgetop Cir
Ste 107
Sterling, VA 20166
Phone (703) 475-7595

Interoperability endpoints

  • Direct secure messaging: meagan.ulrich.1@29379.direct.athenahealth.com

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": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1407409188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 FORT EVANS RD NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764420",
            "telephone_number": "703-443-2000",
            "fax_number": "703-443-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 FORT EVANS RD NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764420",
            "telephone_number": "703-443-2000",
            "fax_number": "703-433-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "MEAGAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.