Individual provider Active NPI

Leanne Miccio, CNM

  • Advanced Practice Midwife
  • Lansdowne, VA
National Provider Identifier
1811106099
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00033601 Issued in NJ
Practice address
19490 Sandridge Way Ste 350
Lansdowne, VA 20176-3467
Phone
(703) 858-5599
Fax
(703) 858-5699
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
High-Risk Obstetric Registered Nurse 163WX0002X 0024194631 VA
Advanced Practice Midwife 367A00000X 25ME00033601 NJ Primary

Addresses

Primary practice location

19490 Sandridge Way Ste 350
Lansdowne, VA 20176-3467

Mailing address

19490 Sandridge Way Ste 350
Lansdowne, VA 20176-3467
Phone (703) 858-5599

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leanne.miccio.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050812000326 NJ Practitioner - Certified Nurse Midwife (CNM) 2264461953 Reassigns benefits to 3 organizations
I20160119000367 PA Practitioner - Certified Nurse Midwife (CNM) 2264461953 Reassigns benefits to 1 organization
I20251202000013 VA Practitioner - Certified Nurse Midwife (CNM) 2264461953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

19490 Sandridge Way
Suite 350
Leesburg, VA 20176-3467
Phone (703) 858-5599

Merit-based Incentive Payment System (MIPS)

Final score
96.91 of 100Reported as apm
Quality
79.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0024194631VAMDHigh-Risk Obstetric Registered Nurse
25ME00033601NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Oct 14, 2025 Accepting new patients
Virtua Medical Group, PA CurrentSince Apr 1, 2016 Accepting new patients
Capital Health Multispecialty Group CurrentSince Apr 1, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 14, 2025 Accepting new patients
Virtua Medical Group, PA CurrentSince Apr 1, 2016 Accepting new patients
Capital Health Medical Group CurrentSince Feb 1, 2020 Accepting new patients
Regional Womens Health Group LLC Past Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Regional Women'S Health Group, LLC Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

123 Franklin Corner Rd
Ste 216
Lawrenceville, NJ 08648
Phone (609) 895-6800

123 Franklin Corner Rd
Ste 214
Lawrenceville, NJ 08648
Phone (609) 537-7200

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

321 N Warren St
Trenton, NJ 08618
Phone (609) 278-6029

100 Bowman Dr
Fl 1
Voorhees, NJ 08043
Phone (856) 247-2645

909 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 504-9090

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

19490 Sandridge Way
Ste 350
Leesburg, VA 20176
Phone (703) 858-5599

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: leanne.miccio.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: leanne.miccio.1@12833.direct.athenahealth.com

Organizations & group practices 9

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1811106099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19490 SANDRIDGE WAY STE 350",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201763467",
            "telephone_number": "703-858-5599",
            "fax_number": "703-858-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19490 SANDRIDGE WAY STE 350",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201763467",
            "telephone_number": "703-858-5599",
            "fax_number": "703-858-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICCIO",
        "first_name": "LEANNE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "VA",
            "license": "0024194631",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00033601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leanne.miccio.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "123 Franklin Corner Rd",
            "address_2": "Suite 214",
            "city": "Lawrenceville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086482526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

Verify at the official NPI Registry.