NPIMap

Individual provider Active NPI

Lupe Barbara Pacheco, P.A.

  • Physician Assistant
  • Midlothian, VA
National Provider Identifier
1043460645
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110009228 Issued in VA
Practice address
14163 Midlothian Tpke
Midlothian, VA 23113-6523
Phone
(804) 893-8702
NPI assigned
Sep 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15380 CA
Physician Assistant 363A00000X 0110009228 VA Primary

Addresses

Primary practice location

14163 Midlothian Tpke
Midlothian, VA 23113-6523

Mailing address

751 Lombardi CT Ste C
Santa Rosa, CA 95407-6793
Phone (707) 547-2220

Other practice location 1

751 Lombardi Ct Ste C
Santa Rosa, CA 95407-6793
Phone (707) 547-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230622001180 VA Practitioner - Physician Assistant 1557354958 Reassigns benefits to 2 organizations
I20240312003524 DC Practitioner - Physician Assistant 1557354958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Urgent Care LLCGroup PAC ID 6709256142, 125 clinicians

Practice addresses (Care Compare)

10 N Nansemond St
Richmond, VA 23221-2768
Phone (804) 877-8327

14163 Midlothian Tpke
Midlothian, VA 23113-6523
Phone (804) 893-8702

14426 Hull St Rd
Chesterfield, VA 23832-2525
Phone (804) 887-8322

4835 S Laburnum Ave
Richmond, VA 23231-2713
Phone (804) 877-8324

9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702

Hospital & facility affiliations

  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15380CAMDPhysician Assistant
0110009228VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC CurrentSince Jan 30, 2024 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Jan 30, 2024 Accepting new patients
Orange County Urgent Care #3, Inc. CurrentSince Oct 13, 2016 Accepting new patients

Locations

78965 Highway 111
Ste 100
La Quinta, CA 92253
Phone (706) 777-7847

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

Interoperability endpoints

  • Direct secure messaging: lpacheco2815919@direct.bsmhealth.org

Organizations & group practices 4

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

Hospital & facility affiliations 6

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": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1043460645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 LOMBARDI CT STE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954076793",
            "telephone_number": "707-547-2220",
            "fax_number": "707-547-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14163 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136523",
            "telephone_number": "804-893-8702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Lombardi Ct Ste C",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954076793",
            "country_code": "US",
            "telephone_number": "707-547-2220",
            "fax_number": "707-547-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "LUPE",
        "middle_name": "BARBARA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "15380",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110009228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.