KELLY ASHLEY BOARDMAN PA-C
NPI 1821492067
Physician Assistant - Medical in Leesburg, VA

Q: What is Kelly Boardman's NPI number?

The NPI number for Kelly Boardman is 1821492067. It was assigned to this individual provider in the NPPES registry on October 17, 2014.

Q: What is Kelly Boardman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Boardman was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 17, 2014PECOS EnrolledAccepts Medicare Assignment

92.61/100

CMS Quality Rating

19415 DEERFIELD AVE, SUITE 213, LEESBURG, VA 20176(703) 729-9220(703) 858-3529 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kelly Ashley Boardman Pa-c NPPES

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

KELLY ASHLEY BOARDMAN PA-C (NPI 1821492067) is an individual medical provider in Leesburg, Virginia, licensed in Virginia (0110004747) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1821492067

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKELLY ASHLEY BOARDMANCredential: PA-C

Location Address19415 DEERFIELD AVE, SUITE 213Leesburg, VA 20176-8452

Mailing Address2623 Puritan CtHerndon, VA 20171-2439 · (404) 326-2826

Phone(703) 729-9220

Fax(703) 858-3529

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 17, 2014

Last NPPES UpdateMarch 6, 2024

NPPES CertifiedMarch 6, 2024

✔ NPI 1821492067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in VA · 0110004747

19415 DEERFIELD AVE, Leesburg, VA 20176

Open in Google Maps ↗

Other Identifiers 2

Medicaid1821492067VA

Medicaid30016805880001VA

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

Kelly Ashley Boardman Pa-c 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 ID8325362122

PECOS Enrollment IDI20150127002073

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

119 services38 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

23 services23 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

20 services20 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

12 services12 patients

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.22

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

NORTHLAND HEARING CENTERS, INC.

Audiologist-Hearing Aid Fitter

19415 DEERFIELD AVE, SUITE 301-B
LANSDOWNE, VA 20176

Loudoun County (703) 723-9672

DR. CAROLYN M WALSH MD

Internal Medicine

19415 DEERFIELD AVE, SUITE 307
LANSDOWNE, VA 20176

Loudoun County (703) 723-7713

NAVIN HUKMANI, DDS, LLC

Dentist (Orthodontics and Dentofacial Orthopedics)

19415 DEERFIELD AVE, SUITE 306
LEESBURG, VA 20176

Loudoun County (703) 858-3600

ROBERTA MAUREEN MORELAND MD

Dermatology

19415 DEERFIELD AVE, SUITE 314
LEESBURG, VA 20176

Loudoun County (703) 723-7171

DULLES EYE ASSOCIATES, P.C.

Ophthalmology

19415 DEERFIELD AVE, STE 106
LANSDOWNE, VA 20176

Loudoun County (703) 723-9633

LOUDOUN MEDICAL CARE PC

Internal Medicine

19415 DEERFIELD AVE, STE 115
LANSDOWNE, VA 20176

Loudoun County (703) 729-2626

DR. MANDEEP SANDHU MD

Internal Medicine

19415 DEERFIELD AVE, SUITE 115
LANSDOWNE, VA 20176

Loudoun County (703) 729-2626

MCDONALD PEDIATRICS PC

Pediatrics

19415 DEERFIELD AVE, STE 105
LANSDOWNE, VA 20176

Loudoun County (571) 223-2229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Boardman's NPI number?

The NPI number for Kelly Boardman is 1821492067. It was assigned to this individual provider in the NPPES registry on October 17, 2014.

Where is Kelly Boardman located?

Kelly Boardman practices at 19415 Deerfield Ave Suite 213, Leesburg, VA 20176. The listed phone number is (703) 729-9220.

What is Kelly Boardman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelly Boardman enrolled in Medicare?

Yes. Kelly Boardman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kelly Boardman affiliated with any hospitals?

According to CMS data, Kelly Boardman is affiliated with Inova Loudoun Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Boardman was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.