NPIMap

Individual provider Active NPI

Angela M Emmons, PA-C

  • Medical Physician Assistant
  • Woodstock, VA
National Provider Identifier
1154591543
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110002693 Issued in VA
Practice address
759 S Main St
Suite 300
Woodstock, VA 22664-1127
Phone
(540) 459-1540
Fax
(540) 459-1486
NPI assigned
Mar 3, 2008
Last updated
Feb 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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 0110002693 VA Primary

Addresses

Primary practice location

759 S Main St
Suite 300
Woodstock, VA 22664-1127

Mailing address

220 Campus Blvd
Ste 200
Winchester, VA 22601-2889
Phone (540) 536-5100

Other identifiers 3

IdentifierTypeStateIssuer
017080B36OtherVAMEDICARE
1154591543MedicaidVA
54-1948807OtherTAX ID

Other names 1

  • Angela M Veit Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aemmons111348@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080522000089 VA Practitioner - Physician Assistant 0840369419 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

240 Shenandoah St
Woodstock, VA 22664-1051
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664-1154

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Memorial Hospital, Inc. CurrentSince Nov 30, 2016 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Jun 25, 2019 Accepting new patients
Shenandoah Memorial Hospital Inc. CurrentSince Nov 30, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

220 Campus Blvd
Ste 100
Winchester, VA 22601

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

759 S Main St
Ste 300
Woodstock, VA 22664
Phone (540) 459-1540

Interoperability endpoints

  • Direct secure messaging: aemmons111348@valleyhealth.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1154591543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD",
            "address_2": "STE 200",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012889",
            "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": "759 S MAIN ST",
            "address_2": "SUITE 300",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641127",
            "telephone_number": "540-459-1540",
            "fax_number": "540-459-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMONS",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110002693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "017080B36",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154591543",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "54-1948807",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aemmons111348@soc.inova.org",
            "affiliation": "N",
            "address_1": "759 S Main St",
            "address_2": "Suite 300",
            "city": "Woodstock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226641127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "VEIT",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodstock, VA

Sources for this page

Verify at the official NPI Registry.