Individual provider Active NPI

Raeanna Poplus Simcoe, MD

  • Family Medicine Physician
  • Waynesboro, VA
National Provider Identifier
1174917082
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101274465 Issued in VA
Practice address
201 Lew Dewitt Blvd Ste a
Waynesboro, VA 22980-1663
Phone
(540) 245-7940
Fax
(540) 245-7941
NPI assigned
Mar 28, 2015
Last updated
May 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101274465 VA Primary

Addresses

Primary practice location

201 Lew Dewitt Blvd Ste a
Waynesboro, VA 22980-1663

Mailing address

PO Box 388
Fishersville, VA 22939-0388
Phone (540) 332-5168

Other practice location 1

25 Northridge Ln
Lexington, VA 24450-3399
Phone (540) 464-8700

Other names 1

  • Raeanna Lee Poplus Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rsimcoe158962@direct.dhha.org Health Information Exchange (HIE)
Direct Messaging Address raeanna.simcoe.1@14718.direct.athenahealth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220525002057 VA Practitioner - Family Practice 6608111315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians
Rockbridge Area Free ClinicGroup PAC ID 2860626231, shared by 5 NPIs, 16 clinicians

Practice addresses (Care Compare)

201 Lew Dewitt Blvd
Suite a
Waynesboro, VA 22980-1663
Phone (540) 245-7940

25 Northridge LN
Lexington, VA 24450-3399
Phone (540) 464-8700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rockbridge Area Free Clinic CurrentSince Jul 18, 2022 Accepting new patients
Augusta Medical Group CurrentSince May 19, 2025 Accepting new patients
Augusta Medical Group CurrentSince May 19, 2025 Accepting new patients
Wayfinder Family Medicine PLLC Current Accepting new patients
Rockbridge Area Free Clinic CurrentSince Jul 18, 2022 Accepting new patients
Augusta Health Care, Inc Past 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

25 Northridge Ln
Lexington, VA 24450
Phone (540) 464-8700

2570 Stuarts Draft Hwy
Ste 100
Stuarts Draft, VA 24477
Phone (540) 245-7800

201 Lew Dewitt Blvd
Ste A
Waynesboro, VA 22980
Phone (540) 245-7940

1140 Keezletown Rd
Weyers Cave, VA 24486
Phone (540) 453-0040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
  • Direct secure messaging: raeanna.simcoe.1@14718.direct.athenahealth.com
  • Direct secure messaging: rsimcoe158962@direct.dhha.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1174917082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388",
            "telephone_number": "540-332-5168",
            "fax_number": "540-332-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LEW DEWITT BLVD STE A",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229801663",
            "telephone_number": "540-245-7940",
            "fax_number": "540-245-7941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Northridge Ln",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "VA",
            "postal_code": "244503399",
            "country_code": "US",
            "telephone_number": "540-464-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMCOE",
        "first_name": "RAEANNA",
        "middle_name": "POPLUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-28",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101274465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsimcoe158962@direct.dhha.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "777 Bannock St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802044597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raeanna.simcoe.1@14718.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "201 Lew DeWitt Blvd Ste A",
            "city": "Waynesboro",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229801663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RAEANNA",
            "last_name": "POPLUS",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waynesboro, VA

Sources for this page

Verify at the official NPI Registry.