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

MS. Stephanie L Modzelesky, PA-C

Individual provider Surgical Physician Assistant · NPI 1417919408

MS. Stephanie L Modzelesky, PA-C is a Physician Assistant in Leesburg, Virginia. Qualified in 2005, 21 years ago. Practices with Loudoun Medical Group, PC, a 274-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
21
Licensed in
VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

19450 Deerfield Ave Ste 200
Leesburg, VA 20176-6821
Phone: (571) 209-1875
Fax: (703) 777-3365
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110002171 (VA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0110002171 (VA)

Record details

NPI number1417919408
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESFebruary 7, 2026
Certification dateFebruary 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Loudoun Medical Group, Pc — 274 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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