Individual provider Active NPI

Justin Tyler Lipsey, PA

  • Medical Physician Assistant
  • Winchester, VA
National Provider Identifier
1053984013
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110007917 Issued in VA
Practice address
611 E Jubal Early Dr
Winchester, VA 22601-5178
Phone
(540) 536-5500
Fax
(540) 536-5507
NPI assigned
Jul 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110007917 VA Primary

Addresses

Primary practice location

611 E Jubal Early Dr
Winchester, VA 22601-5178

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2896
Phone (540) 536-5100

Other practice location 1

33820 Old Valley Pike Ste 2
Strasburg, VA 22657-3793
Phone (540) 459-1310

Other practice location 2

415A South St
Front Royal, VA 22630-2115
Phone (540) 636-0495

Other practice location 3

65 Riverton Commons Dr
Front Royal, VA 22630-6768
Phone (540) 635-0700

Other practice location 4

160 Merchant St Ste 200
Winchester, VA 22603-4772
Phone (540) 536-5950

Other practice location 5

607 E Jubal Early Dr
Winchester, VA 22601-5178
Phone (540) 536-2232

Other practice location 6

160 Merchant St Ste 100
Winchester, VA 22603-4772
Phone (540) 536-5560

Other practice location 7

1440 Amherst St
Winchester, VA 22601-3010
Phone (540) 536-5400

Other practice location 8

5301 Main St
Mount Jackson, VA 22842-9649
Phone (540) 459-1250

Electronic endpoints 9

TypeEndpointUseAffiliation
Direct Messaging Address jlipsey1009734@soc.inova.org
Direct Messaging Address jlipsey1009734@soc.inova.org
Direct Messaging Address jlipsey1009734@soc.inova.org
Direct Messaging Address jlipsey1009734@soc.inova.org
Direct Messaging Address jlipsey1009734@soc.inova.org
Direct Messaging Address jlipsey1009734@soc.inova.org
Direct Messaging Address jlipsey1009734@soc.inova.org
Direct Messaging Address jlipsey1009734@soc.inova.org
Direct Messaging Address jlipsey1009734@soc.inova.org

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
I20220513002435 VA Practitioner - Physician Assistant 9032596903 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Regional Enterprises, Inc 53 clinicians
Winchester Medical Center 313 clinicians

Practice addresses (Care Compare)

160 Merchant St
Suite 200
Winchester, VA 22603-4772
Phone (540) 536-5950

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8700

1880 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-6721

230 Costello Dr
Suite B
Winchester, VA 22602-4686
Phone (540) 536-5400

607 E Jubal Early Dr
Winchester, VA 22601-5178
Phone (540) 536-2232

Hospital & facility affiliations

  • Valley Health Home Health Home health agency, Winchester, VA, CCN 497058
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110007917VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Winchester Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Valley Regional Enterprises, Inc CurrentSince Jan 23, 2023 Accepting new patients
Valley Physician Enterprise, Inc CurrentSince Jun 1, 2022 Accepting new patients
Valley Regional Enterprises, Inc Past Accepting new patients
Warren Memorial Hospital, Inc. Past Accepting new patients
Winchester Medical Center Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

415A South St
Front Royal, VA 22630
Phone (540) 636-0495

65 Riverton Commons Dr
Front Royal, VA 22630
Phone (540) 635-0700

5301 Main St
Mount Jackson, VA 22842
Phone (540) 459-1250

33820 Old Valley Pike
Ste 2
Strasburg, VA 22657
Phone (540) 459-1310

230 Costello Dr
Ste B
Winchester, VA 22602
Phone (540) 536-5400

611 E Jubal Early Dr
Winchester, VA 22601
Phone (540) 536-5500

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

220 Campus Blvd
Ste 210
Winchester, VA 22601

160 Merchant St
#200
Winchester, VA 22603
Phone (540) 536-5950

160 Merchant St
#100
Winchester, VA 22603
Phone (540) 536-5400

607 E Jubal Early Dr
Winchester, VA 22601
Phone (540) 536-2232

519 W Jubal Early Dr
Ste 301
Winchester, VA 22601
Phone (540) 536-5500

1440 Amherst St
Winchester, VA 22601
Phone (540) 450-3339

220 Campus Blvd
Ste 100
Winchester, VA 22601

Interoperability endpoints

  • Direct secure messaging: jlipsey1009734@valleyhealth.direct-ci.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1053984013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012896",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E JUBAL EARLY DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226015178",
            "telephone_number": "540-536-5500",
            "fax_number": "540-536-5507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33820 Old Valley Pike Ste 2",
            "address_purpose": "LOCATION",
            "city": "Strasburg",
            "state": "VA",
            "postal_code": "226573793",
            "country_code": "US",
            "telephone_number": "540-459-1310",
            "fax_number": "540-459-1311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415A South St",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226302115",
            "country_code": "US",
            "telephone_number": "540-636-0495",
            "fax_number": "540-636-0450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Riverton Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226306768",
            "country_code": "US",
            "telephone_number": "540-635-0700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Merchant St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226034772",
            "country_code": "US",
            "telephone_number": "540-536-5950",
            "fax_number": "540-536-5955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "607 E Jubal Early Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226015178",
            "country_code": "US",
            "telephone_number": "540-536-2232",
            "fax_number": "540-536-2206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Merchant St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226034772",
            "country_code": "US",
            "telephone_number": "540-536-5560",
            "fax_number": "540-536-5561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1440 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226013010",
            "country_code": "US",
            "telephone_number": "540-536-5400",
            "fax_number": "540-536-5490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5301 Main St",
            "address_purpose": "LOCATION",
            "city": "Mount Jackson",
            "state": "VA",
            "postal_code": "228429649",
            "country_code": "US",
            "telephone_number": "540-459-1250",
            "fax_number": "540-459-1251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPSEY",
        "first_name": "JUSTIN",
        "middle_name": "TYLER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110007917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlipsey1009734@soc.inova.org",
            "affiliation": "N",
            "address_1": "160 Merchant St Ste 100",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226034772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlipsey1009734@soc.inova.org",
            "affiliation": "N",
            "address_1": "1440 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226013010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlipsey1009734@soc.inova.org",
            "affiliation": "N",
            "address_1": "611 E Jubal Early Dr",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226015178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlipsey1009734@soc.inova.org",
            "affiliation": "N",
            "address_1": "415A South St",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226302115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlipsey1009734@soc.inova.org",
            "affiliation": "N",
            "address_1": "607 E Jubal Early Dr",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226015178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlipsey1009734@soc.inova.org",
            "affiliation": "N",
            "address_1": "5301 Main St",
            "city": "Mount Jackson",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228429649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlipsey1009734@soc.inova.org",
            "affiliation": "N",
            "address_1": "33820 Old Valley Pike Ste 2",
            "city": "Strasburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226573793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlipsey1009734@soc.inova.org",
            "affiliation": "N",
            "address_1": "160 Merchant St Ste 200",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226034772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlipsey1009734@soc.inova.org",
            "affiliation": "N",
            "address_1": "65 Riverton Commons Dr",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226306768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.