Lauren Elizabeth Stover, PA-C
Individual provider Active NPI Physician Assistant · Tysons, VA
NPI 1942552153 · NPPES record last updated Mar 14, 2025
Key facts
- NPI
- 1942552153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110004029 (VA)
- Practice address
- 1775 Tysons Blvd Ste 300
Tysons, VA 22102-4285 - Phone
- (202) 660-0050
- Fax
- (415) 252-7176
- NPI assigned
- Oct 11, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- One Medstar Primary Care LLC
Practice addresses (Care Compare)
1001 G St NW
Suite 200E
Washington, DC 20001-4546
Phone (202) 660-0005
1775 Tysons Blvd
Suite 300
Tysons, VA 22102-4285
Phone (202) 627-1904
2987 District Ave
Suite 120
Fairfax, VA 22031-1571
Phone (202) 627-1904
601 New Jersey Ave NW
Suite 200
Washington, DC 20001-3030
Phone (202) 660-0005
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190718000534 | DC | Practitioner - Physician Assistant | 7012242647 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110004029 | VA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA031589 | DC | |
| Physician Assistant | 363A00000X | 0110004029 | VA | Yes |
Addresses
Primary practice location
1775 Tysons Blvd Ste 300
Tysons, VA 22102-4285
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791
Other practice location 1
1001 G St NW Ste 200
Washington, DC 20001-4545
Phone (202) 660-0015
Other providers in Tysons, VA
- Mahdokht Sadeghvishkaei
- Sanu Care Inc
- Neha Sanyal
- Merica Shrestha
- Mary Smith
- Strong Minds, PLLC
- Mehdi Tavazoei
- Tysons Psychology, PLLC
- Omar Ali Usman
- Vela Haven, LLC
All providers in Tysons, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.