Lindsey Kokanovich, PA-C
Individual provider Active NPI Physician Assistant · Fishersville, VA
NPI 1144779307 · NPPES record last updated Jun 27, 2025
Key facts
- NPI
- 1144779307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110010290 (VA)
- Practice address
- 15 Sports Medicine Drive
Suite 100
Fishersville, VA 22939 - Phone
- (540) 245-7180
- Fax
- (540) 245-7181
- NPI assigned
- Sep 29, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Augusta Medical Group
Practice addresses (Care Compare)
53 S Medical Park Dr
Fishersville, VA 22939-2333
Phone (540) 332-5687
70 Medical Ctr Cir
Fishersville, VA 22939-2273
78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 332-5595
9 S Medical Park Dr
Fishersville, VA 22939-2333
Phone (540) 245-7350
Hospital & facility affiliations
- Augusta Health
- Mayo Clinic Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.47 of 100
- Quality
- 78.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.62
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250108003448 | VA | Practitioner - Physician Assistant | 2466732185 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8335 | AZ | MD | Physical Therapist |
| 53830 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Medical Group | Current |
Accepting new patients |
Locations
540 Radford Ln
Ste 250
Charlottesville, VA 22903
Phone (434) 823-7596
53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687
644 University Blvd
Harrisonburg, VA 22801
Phone (540) 564-5100
30 Greenhouse Rd
Lexington, VA 24450
Phone (540) 464-3465
Interoperability endpoints
- lindsey.kokanovich.1@14718.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 53830 | CA | |
| Physician Assistant | 363A00000X | 8335 | AZ | |
| Physician Assistant | 363A00000X | 0110010290 | VA | Yes |
Addresses
Primary practice location
15 Sports Medicine Drive
Suite 100
Fishersville, VA 22939
Mailing address
PO Box 388
Fishersville, VA 22939-0388
Phone (540) 245-7180
Other practice location 1
25455 Barton Rd Ste 204B
Loma Linda, CA 92354-3130
Phone (909) 558-6600
Other practice location 2
13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone (480) 301-8000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lindsey.kokanovich.1@14718.direct.athenahealth.com |
Other providers in Fishersville, VA
- Christopher R Klimek
- Daphne Harrington Knicely
- Virginia H. Kockler
- Anagha D Kohli
- Ashlie Koiner
- Timothy Kokanovich
- Kevin T Kollar
- David Dean Krieger
- Hannah Kukla
- Meera S Kumar
All providers in Fishersville, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.