Active NPI
Justin Tyler Lipsey, PA
- Medical Physician Assistant
- Winchester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110007917
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, IncWinchester Medical Center
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
- Winchester Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110007917 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winchester Medical Center | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc. | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Valley Regional Enterprises, Inc | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc | Current | 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
- 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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Winchester, VA
- NPI 1679711261
VA
-
- Rural Health Clinic/Center
- Winchester, VA
- NPI 1467045922
-
- Home Health Agency
- Winchester, VA
- NPI 1538142005
-
- Land Ambulance
- Winchester, VA
- NPI 1528054681
-
- General Acute Care Hospital
- Winchester, VA
- NPI 1619928017
-
- Psychiatric Hospital Unit
- Winchester, VA
- NPI 1629027263
-
- Clinical Medical Laboratory
- Winchester, VA
- NPI 1790024909
-
- Pharmacy
- Winchester, VA
- NPI 1922082718
-
- Mammography Clinic/Center
- Winchester, VA
- NPI 1932842937
-
- Rehabilitation Hospital Unit
- Winchester, VA
- NPI 1962453936
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Winchester, VA
- NPI 1538142005
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.