Individual provider Active NPI

Sierra Lee, NP-C

  • Family Nurse Practitioner
  • Woodsboro, MD
National Provider Identifier
1700458437
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R222633 Issued in MD
Practice address
10200 Coppermine Rd
Woodsboro, MD 21798-8319
Phone
(301) 845-6322
NPI assigned
Jul 13, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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 R222633 MD Primary

Addresses

Primary practice location

10200 Coppermine Rd
Woodsboro, MD 21798-8319

Mailing address

10200 Coppermine Rd
Woodsboro, MD 21798-8319
Phone (301) 845-6322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20210923001660 MD Practitioner - Nurse Practitioner 4082011721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

110 Baughmans LN
Suite 140
Frederick, MD 21702-4649
Phone (240) 215-1138

610 Solarex CT
Frederick, MD 21703-8624
Phone (301) 682-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Aug 23, 2021 Accepting new patients
Menocal Medical Services PA Current Accepting new patients
Privia Care Center LLC Current Accepting new patients
Privia Care Center LLC CurrentSince Aug 23, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 23, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Medical Associates of Central Virginia, Inc. Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

14800 Physicians Ln
Ste 231
Rockville, MD 20850
Phone (301) 241-9711

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

10200 Coppermine Rd
Woodsboro, MD 21798
Phone (301) 845-6322

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • Direct secure messaging: sierra.lee.1@8042.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1700458437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 COPPERMINE RD",
            "city": "WOODSBORO",
            "state": "MD",
            "postal_code": "217988319",
            "telephone_number": "301-845-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 COPPERMINE RD",
            "city": "WOODSBORO",
            "state": "MD",
            "postal_code": "217988319",
            "telephone_number": "301-845-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SIERRA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R222633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodsboro, MD

Sources for this page

Verify at the official NPI Registry.