Katelyn Nicewander, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110006824 Issued in VA

Practice address

607 E Jubal Early Dr
Winchester, VA 22601-5178

Phone

(540) 536-2232

NPI assigned

Aug 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 6

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Page Memorial Hospital IncGroup PAC ID 8426951203, 81 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aveanna Home Health Home health agency, Winchester, VA, CCN 497668
• Valley Health Home Health Home health agency, Winchester, VA, CCN 497058
• Warren Memorial Hospital Hospital, Front Royal, VA, CCN 490033
• Winchester Medical Center Hospital, Winchester, VA, CCN 490005
• Fauquier Hospital Hospital, Warrenton, VA, CCN 490023
• Shenandoah Memorial Hospital Hospital, Woodstock, VA, CCN 491305
• Page Memorial Hospital, Inc Hospital, Luray, VA, CCN 491307

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: knicewander1009553@valleyhealth.direct-ci.com

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.

• Page Memorial Hospital, Inc.

  • Critical Access Hospital
  • Luray, VA
  • NPI 1326040684
  Medicare reassignment Care Compare group NPD (past)
• Valley Regional Enterprises, Inc

  • Urgent Care Clinic/Center
  • Winchester, VA
  • NPI 1235178591
  Medicare reassignment NPD
• Page Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Front Royal, VA
  • NPI 1083236970

  Family Medicine

  NPD
• Page Memorial Hospital Inc.

  • Rural Health Clinic/Center
  • Stanley, VA
  • NPI 1598779571
  NPD (past)
• Valley Regional Enterprises, Inc

  • Urgent Care Clinic/Center
  • Strasburg, VA
  • NPI 1063666196
  NPD (past)
• Warren Memorial Hospital, Inc.

  • General Practice Physician
  • Front Royal, VA
  • NPI 1407012982
  NPD (past)

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

• Fauquier Medical Center LLC

  • General Acute Care Hospital
  • Warrenton, VA
  • NPI 1912334517
  Care Compare affiliation
• Five Points Healthcare of Virginia

  • Home Health Agency
  • Winchester, VA
  • NPI 1508285743
  Care Compare affiliation
• Page Memorial Hospital, Inc.

  • Critical Access Hospital
  • Luray, VA
  • NPI 1326040684
  Care Compare affiliation
• Shenandoah Memorial Hospital, Inc.

  • Critical Access Hospital
  • Woodstock, VA
  • NPI 1033166442
  Care Compare affiliation
• Warren Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Front Royal, VA
  • NPI 1427085232
  Care Compare affiliation
• Winchester Medical Center

  • Home Health Agency
  • Winchester, VA
  • NPI 1538142005
  Care Compare affiliation
• Winchester Medical Center

  • General Acute Care Hospital
  • Winchester, VA
  • NPI 1619928017
  Care Compare affiliation
• Winchester Medical Center

  • Clinical Medical Laboratory
  • Winchester, VA
  • NPI 1790024909

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1073168274",
    "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": "607 E JUBAL EARLY DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226015178",
            "telephone_number": "540-536-2232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2913 Valley Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012678",
            "country_code": "US",
            "telephone_number": "540-678-0792",
            "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": "33820 Old Valley Pike Ste 2",
            "address_purpose": "LOCATION",
            "city": "Strasburg",
            "state": "VA",
            "postal_code": "226573793",
            "country_code": "US",
            "telephone_number": "540-459-1310",
            "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",
            "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",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226302717",
            "country_code": "US",
            "telephone_number": "540-635-7991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICEWANDER",
        "first_name": "KATELYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0110-006824",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katelynnicewander@abfp.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Follow My Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2913 Valley Ave Ste 200",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knicewander1009553@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": "knicewander1009553@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": "knicewander1009553@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": "knicewander1009553@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": "knicewander1009553@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": []
}

• Nghiem Nguyen, PHARM.D.
• Thai Q Nguyen, MD
• Thanh-Lan Thi Nguyen
• Clare Kelliher Ni Cheilleachair, M.D.
• Emma Lynn Nicely
• Kaylan Nichols
• Stephen Nichols
• Robert Nickens, LPC
• Christopher Mark Nieman, M.D.
• Lynn M Nieman, MD

• Physician Assistant in Winchester, VA
• Providers in Winchester, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.