Active NPI
Mirna Clerie, PA-C
- Physician Assistant
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA200002214
- Practice address
- 5255 Loughboro Rd NW
Washington, DC 20016-2633 - Phone
- (202) 537-4000
- NPI assigned
- Jan 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | EL10207 | NH | |
| Medical Physician Assistant | 363AM0700X | 012891 | NY | |
| Physician Assistant | 363A00000X | PA200002214 | DC | Primary |
Addresses
Primary practice location
5255 Loughboro Rd NW
Washington, DC 20016-2633
Mailing address
6201 Greenleigh Ave
Baltimore, MD 21220-2004
Phone (410) 933-6423
Other practice location 1
1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
Other practice location 2
1 Gustave L Levy Pl
New York, NY 10029-6500
Phone (212) 241-8140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NH, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA200002214 | DC | MD | Physician Assistant |
| EL10207 | NH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Winthrop Community Medical Affiliates, P.C. | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
700 Hicksville Rd
Ste 204
Bethpage, NY 11714
Phone (516) 576-5812
1300 Franklin Ave
Ste Ul
Garden City, NY 11530
Phone (516) 663-2224
1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525
200 Old Country Rd
Ste 450
Mineola, NY 11501
Phone (516) 663-9500
300 Community Dr
Plandome, NY 11030
Interoperability endpoints
- mclerie1362449@direct.hopkinsmedicine.org
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- Hematology & Oncology Physician
- New Hyde Park, NY
- NPI 1003409061
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lebanon, NH
- NPI 1124681846
-
- Optometrist
- Arlington, VA
- NPI 1316750508
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
-
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Surgery Physician
- Mineola, NY
- NPI 1649651498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1942447974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5255 LOUGHBORO RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162633",
"telephone_number": "202-537-4000"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037561000",
"country_code": "US",
"telephone_number": "603-650-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Gustave L Levy Pl",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296500",
"country_code": "US",
"telephone_number": "212-241-8140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLERIE",
"first_name": "MIRNA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-13",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "EL10207",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "012891",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA200002214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.