KAIE MANOR FNP-BC - NPI 1629875752 - Nurse Practitioner in Leesburg, VA

Q: What is Kaie Manor's NPI number?

The NPI number for Kaie Manor is 1629875752. It was assigned to this individual provider in the NPPES registry on February 26, 2025.

Q: What is Kaie Manor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kaie Manor was last updated on May 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kaie Manor Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAIE MANOR FNP-BC (NPI 1629875752) is an individual family provider in Leesburg, Virginia, licensed in Virginia (0024192734) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and maintains a secondary practice location in Aldie.

NPPES Registry Identity

NPI1629875752

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKAIE MANORCredential: FNP-BC

Location Address211 GIBSON STREET, NW, SUITE 215Leesburg, VA 20176-2115

Mailing Address224-d Cornwall Street, Nw, Ste 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643

Phone(571) 707-2085

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 26, 2025

Last NPPES UpdateMay 26, 20254 updates tracked since enumeration

NPPES CertifiedMay 26, 2025

✔ NPI 1629875752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024192734

211 GIBSON STREET, NW, SUITE 215, Leesburg, VA 20176

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Secondary Practice Location 1

Location 142020 Village Center Plz Ste 120Aldie, VA 20105-3030 · Phone (617) 388-1330

Other Identifiers 2

Medicaid30018220280001VA

Medicaid1629875752VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaie Manor Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153846993

PECOS Enrollment IDI20250415001190

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490043

Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH YIM LEE MD

Family Medicine