Individual provider Active NPI

Lesley Anne Dejarnette, PA

  • Physician Assistant
  • Madison, VA
National Provider Identifier
1003405838
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110-007504 Issued in VA
Practice address
2503 S Seminole TRL
Madison, VA 22727-2690
Phone
(540) 672-3010
NPI assigned
Jan 15, 2021
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110-007504 VA Primary

Addresses

Primary practice location

2503 S Seminole TRL
Madison, VA 22727-2690

Mailing address

13198 James Madison Hwy
Orange, VA 22960-2808
Phone (540) 672-3010

Other practice location 1

13198 James Madison Hwy
Orange, VA 22960-2851
Phone (540) 672-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210308001162 VA Practitioner - Physician Assistant 0648686196 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

13198 James Madison Hwy
Orange, VA 22960-2808
Phone (540) 672-3010

2503 S Seminole TRL
Madison, VA 22727-2690
Phone (540) 948-0005

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110-007504VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jun 19, 2023 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Feb 14, 2021 Accepting new patients
Anchor Healthcare, PLC CurrentSince Feb 1, 2022 Accepting new patients
Anchor Healthcare, PLC CurrentSince Feb 1, 2022 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Feb 14, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 19, 2023 Accepting new patients
Medical Associates of Central Virginia, Inc. Past Accepting new patients

Locations

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100

2503 S Seminole Trl
Madison, VA 22727
Phone (540) 672-3010

8644 Sudley Rd
#220
Manassas, VA 20110

13198 James Madison Hwy
Orange, VA 22960
Phone (540) 672-3010

Interoperability endpoints

  • Direct secure messaging: lesley.dejarnette.1@8042.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1003405838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13198 JAMES MADISON HWY",
            "city": "ORANGE",
            "state": "VA",
            "postal_code": "229602808",
            "telephone_number": "540-672-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 S SEMINOLE TRL",
            "city": "MADISON",
            "state": "VA",
            "postal_code": "227272690",
            "telephone_number": "540-672-3010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13198 James Madison Hwy",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "VA",
            "postal_code": "229602851",
            "country_code": "US",
            "telephone_number": "540-672-3010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEJARNETTE",
        "first_name": "LESLEY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-007504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, VA

Sources for this page

Verify at the official NPI Registry.