Individual provider Active NPI

Alexa Marks, NP

  • Family Nurse Practitioner
  • Ashburn, VA
National Provider Identifier
1891250668
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024177232 Issued in VA
Practice address
44679 Endicott Dr Ste 300
Ashburn, VA 20147-5567
Phone
(804) 596-6021
NPI assigned
Feb 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X RN1037654 DC
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP61076883 WA
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AC003123 MD
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X TPAN395 FL
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 240885 AZ
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 0024177232 VA Primary

Addresses

Primary practice location

44679 Endicott Dr Ste 300
Ashburn, VA 20147-5567

Mailing address

44819 Atwater Dr # E731
Ashburn, VA 20147-5728
Phone (202) 255-6799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, OR, AZ4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20190405000451 VA Practitioner - Nurse Practitioner 5496096158 Reassigns benefits to 2 organizations
I20190417000061 DC Practitioner - Nurse Practitioner 5496096158 Reassigns benefits to 1 organization
I20250804000850 OR Practitioner - Nurse Practitioner 5496096158 Reassigns benefits to 1 organization
I20260616001898 AZ Practitioner - Nurse Practitioner 5496096158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 400
Dallas, TX 75244-4910

Hospital & facility affiliations

  • Blue Mountain Hospital Hospital, John Day, OR, CCN 381305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240885AZMDFamily Nurse Practitioner
RN1037654DCMDFamily Nurse Practitioner
TPAN395FLMDFamily Nurse Practitioner
AC003123MDMDFamily Nurse Practitioner
0024177232VAMDFamily Nurse Practitioner
AP61076883WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Mountain Hospital District Multi-Specialty CurrentSince Jun 1, 2025 Accepting new patients
Champion Health Care, LLC CurrentSince Jun 1, 2020 Accepting new patients
Blue Mountain Hospital District Multi-Specialty Past Accepting new patients

Locations

2122 P St NW
Ste 302
Washington, DC 20037
Phone (202) 257-3287

170 Ford Rd
John Day, OR 97845
Phone (541) 575-1311

180 Ford Rd
John Day, OR 97845
Phone (541) 575-0404

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4fb2ef4c-fc22-4675-b38f-5641155a5454/

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1891250668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44819 ATWATER DR # E731",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475728",
            "telephone_number": "202-255-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44679 ENDICOTT DR STE 300",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475567",
            "telephone_number": "804-596-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "ALEXA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1037654",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61076883",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC003123",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "TPAN395",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "240885",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.