Individual provider Active NPI

Shae Warren, FNP-BC

  • Family Nurse Practitioner
  • Great Falls, VA
National Provider Identifier
1699549477
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024188700 Issued in VA
Practice address
754 Walker Rd
Great Falls, VA 22066-2654
Phone
(703) 757-5817
NPI assigned
Nov 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0024188700 VA
Family Nurse Practitioner 363LF0000X 0024188700 VA Primary

Addresses

Primary practice location

754 Walker Rd
Great Falls, VA 22066-2654

Mailing address

754 Walker Rd
Great Falls, VA 22066-2654
Phone (703) 757-5817

Other identifiers 2

IdentifierTypeStateIssuer
1699549477MedicaidVA
30017728310001MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20231215000496 VA Practitioner - Nurse Practitioner 3779932702 Reassigns benefits to 1 organization
I20260320001997 DC Practitioner - Nurse Practitioner 3779932702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians

Practice addresses (Care Compare)

44084 Riverside Pkwy
Suite 300
Leesburg, VA 20176-5102
Phone (703) 724-7530

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024188700VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Medical Group, PC CurrentSince Jan 2, 2024 Accepting new patients
Loudoun Medical Group, PC CurrentSince Jan 2, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

43300 Southern Walk Plz
Ste 100
Broadlands, VA 20148
Phone (571) 252-7353

44084 Riverside Pkwy
Ste 300
Leesburg, VA 20176
Phone (703) 724-7530

44084 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 724-7530

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

224D Cornwall St NW
Ste 106
Leesburg, VA 20176
Phone (703) 777-1411

20 Town Sq
Unit 180
Lovettsville, VA 20180
Phone (540) 579-0500

205 Hirst Rd
Ste 303
Purcellville, VA 20132
Phone (540) 338-9896

Interoperability endpoints

  • Direct secure messaging: shae.warren@lmg1.eclinicaldirectplus.com

Organizations & group practices 4

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": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1699549477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 WALKER RD",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662654",
            "telephone_number": "703-757-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 WALKER RD",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662654",
            "telephone_number": "703-757-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "SHAE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024188700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024188700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699549477",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017728310001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, VA

Sources for this page

Verify at the official NPI Registry.