Individual provider Active NPI

Pamela Flavin-Lee, PA-C

  • Physician Assistant
  • Williamsburg, VA
National Provider Identifier
1093244204
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110005760 Issued in VA
Practice address
5239 Monticello Ave Ste C
Williamsburg, VA 23188-8242
Phone
(757) 279-2999
NPI assigned
Jun 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 0110005760 VA Primary

Addresses

Primary practice location

5239 Monticello Ave Ste C
Williamsburg, VA 23188-8242

Mailing address

109 Oxford Cir
Williamsburg, VA 23185-3226
Phone (757) 869-9649

Other practice location 1

120 Kings Way Ste &3300
Williamsburg, VA 23185-2505
Phone (757) 221-0750

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
I20170928001158 VA Practitioner - Physician Assistant 2567736630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Dakota School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

120 Kings Way
Williamsburg, VA 23185-2511

856 J Clyde Morris Blvd
Newport News, VA 23601-1318

856 J Clyde Morris Blvd a
Newport News, VA 23601-1318

Hospital & facility affiliations

  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Riverside Doctors' Hospital of Williamsburg Hospital, Williamsburg, VA, CCN 490143
  • Riverside Walter Reed Hospital Hospital, Gloucester, VA, CCN 490130

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Mar 20, 2024 Accepting new patients
Recover Together, LLC CurrentSince May 1, 2022 Accepting new patients
Riverside Physician Services Inc CurrentSince Mar 20, 2024 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

Dept CH 17590
Palatine, IL 60055
Phone (844) 450-3100

850 Enterprise Pkwy
Ste 2000
Hampton, VA 23666
Phone (757) 534-6109

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

6212 Jefferson Ave
Newport News, VA 23605

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

120 Kings Way
Ste 3200
Williamsburg, VA 23185
Phone (757) 253-0051

120 Kings Way
Ste 3500
Williamsburg, VA 23185
Phone (757) 220-6823

120 Kings Way
Ste 3300
Williamsburg, VA 23185
Phone (757) 221-0750

Interoperability endpoints

  • Direct secure messaging: pflavinlee237608@direct.rivhs.com

Organizations & group practices 6

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 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": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1093244204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 OXFORD CIR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853226",
            "telephone_number": "757-869-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5239 MONTICELLO AVE STE C",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888242",
            "telephone_number": "757-279-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Kings Way Ste &3300",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231852505",
            "country_code": "US",
            "telephone_number": "757-221-0750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLAVIN-LEE",
        "first_name": "PAMELA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.