Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Ashley Boardman, PA-C

Individual provider Medical Physician Assistant · NPI 1821492067

Kelly Ashley Boardman, PA-C is a Physician Assistant in Leesburg, Virginia. Qualified in 2014, 12 years ago. Practices with Loudoun Medical Group, PC, a 274-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
12
Licensed in
VA
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

19415 Deerfield Ave Ste 213
Leesburg, VA 20176-8452
Phone: (703) 729-9220
Fax: (703) 858-3529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110004747 (VA)

Record details

NPI number1821492067
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 17, 2014
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Loudoun Medical Group, Pc — 274 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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