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

Mary Elizabeth Walker, PA-C

Individual provider Physician Assistant · NPI 1104169549

Mary Elizabeth Walker, PA-C is a Physician Assistant in Leesburg, Virginia. Graduated from University of Pittsburgh School of Medicine in 2012, 14 years ago. Practices with The National Sports Medicine Institute, PC, a 4-clinician group and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
14
Trained at
University of Pittsburgh School of Medicine
Licensed in
MD, VA
In the registry since
2013
Specialties on file
2
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

19465 Deerfield Ave Ste 405
Leesburg, VA 20176-1707
Phone: (703) 858-1800
Fax: (703) 858-1801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110007139 (VA)
Physician Assistant Taxonomy 363A00000X · Licence C05036 (MD)

Record details

NPI number1104169549
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 4, 2013
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice The National Sports Medicine Institute,Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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