Individual provider Active NPI

Crystal Ann Lee, NP-C

  • Family Nurse Practitioner
  • Sterling, VA
National Provider Identifier
1528530342
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176824 Issued in VA
Practice address
21351 Gentry Dr Ste 125
Sterling, VA 20166-8511
Phone
(703) 774-3132
Fax
(703) 683-7801
NPI assigned
Dec 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 0024176824 VA Primary

Addresses

Primary practice location

21351 Gentry Dr Ste 125
Sterling, VA 20166-8511

Mailing address

21351 Gentry Dr Ste 125
Sterling, VA 20166-8511
Phone (703) 774-3132

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crystallee@nspc.medalliesdirect.net

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
I20190318000862 DC Practitioner - Nurse Practitioner 6901146661 Reassigns benefits to 1 organization
I20250305002035 VA Practitioner - Nurse Practitioner 6901146661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Spine Center, LLCGroup PAC ID 0143688366, 2 clinicians

Practice addresses (Care Compare)

21351 Gentry Dr
Suite 125
Sterling, VA 20166-8511
Phone (703) 774-3132

5105 L Backlick Rd
Annandale, VA 22003-6067
Phone (703) 774-3132

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Spine Center LLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients

Locations

5105L Backlick Rd
Annandale, VA 22003
Phone (410) 599-9872

46090 Lake Center Plz
Ste 102
Sterling, VA 20165
Phone (703) 719-8583

21351 Gentry Dr
Ste 125
Sterling, VA 20166
Phone (703) 406-8686

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": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1528530342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21351 GENTRY DR STE 125",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201668511",
            "telephone_number": "703-774-3132",
            "fax_number": "703-683-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21351 GENTRY DR STE 125",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201668511",
            "telephone_number": "703-774-3132",
            "fax_number": "703-683-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CRYSTAL",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystallee@nspc.medalliesdirect.net",
            "affiliation": "N",
            "address_1": "1420 Spring Hill Rd Ste 210",
            "city": "Mc Lean",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221023006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.