MOIRA HANLEY-NIEMAN PA-C NPI 1629100185

NPI Information

NPI: 1629100185
Provider Name: MOIRA HANLEY-NIEMAN, PA-C
Classification: Physician Assistant - 363AM0700X
Specialization: Medical
Entity Type: Individual
PECOS Registration: Yes
Address: 211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA
ZIP 20176
Phone: (571) 707-2085

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NPI Details

Moira Hanley-nieman, PA-C is a medical physician assistant in Leesburg, VA with 40 years of experience. Moira Hanley-nieman, PA-C NPI is 1629100185. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA
ZIP 20176-115
Phone: (571) 707-2085
Fax: (571) 291-9196

The NPI 1629100185 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
Urinalysis, manual test (HCPCS:81002)
Influenza vaccine split virus, preservative free (HCPCS:90662)
Administration of influenza virus vaccine (HCPCS:G0008)
Insertion of needle into vein for collection of blood sample (HCPCS:36415)
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)

The enumeration date for this NPI number is 3/11/2007 and was last updated on 3/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	0110003807	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1629100185	MEDICAID	VIRGINIA
2	30015872740001	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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