Individual provider Active NPI

Lindsay Agneta Carlucci, NP

  • Family Nurse Practitioner
  • Purcellville, VA
National Provider Identifier
1912348541
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170999 Issued in VA
Practice address
204 Grassy Ridge Ter
Purcellville, VA 20132-6139
Phone
(703) 554-4528
NPI assigned
Jul 11, 2013
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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 0024170999 VA Primary

Addresses

Primary practice location

204 Grassy Ridge Ter
Purcellville, VA 20132-6139

Mailing address

204 Grassy Ridge Ter
Purcellville, VA 20132-6139
Phone (703) 554-4528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, VT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20131002000658 VA Practitioner - Nurse Practitioner 7214161397 Reassigns benefits to 5 organizations
I20150805006637 DC Practitioner - Nurse Practitioner 7214161397 Reassigns benefits to 2 organizations
I20240919001366 VT Practitioner - Nurse Practitioner 7214161397

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Atlantic Long Term Care Specialists LLCGroup PAC ID 3971921206, 13 clinicians

Practice addresses (Care Compare)

Norfolk, VA 23502
Phone (757) 354-2885

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
79.46
Improvement activities
40
Cost
66.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jan 1, 2019 Accepting new patients
Virginia Internal Medicine Inc CurrentSince Apr 9, 2015 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2019 Accepting new patients
Nova Medical and Urgent Care Center, Inc. Family Medicine Past Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

21785 Filigree Ct
Ste 203
Ashburn, VA 20147
Phone (703) 554-1100

4315 Chain Bridge Rd
Fairfax, VA 22030
Phone (703) 205-9792

8503 Arlington Blvd
Fairfax, VA 22031
Phone (703) 970-2670

3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108

3440 S Jefferson St
#12202
Falls Church, VA 22041
Phone (703) 820-1488

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Organizations & group practices 8

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": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1912348541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 GRASSY RIDGE TER",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326139",
            "telephone_number": "703-554-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 GRASSY RIDGE TER",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326139",
            "telephone_number": "703-554-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLUCCI",
        "first_name": "LINDSAY",
        "middle_name": "AGNETA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

Verify at the official NPI Registry.