Individual provider Active NPI

Ellena Mae Thomas, PA

  • Physician Assistant
  • Winchester, VA
National Provider Identifier
1205969128
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110002492 Issued in VA
Practice address
1818 Amherst St Ste 101
Winchester, VA 22601-2894
Phone
(540) 450-0072
Fax
(540) 450-0074
NPI assigned
Mar 13, 2007
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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 0110002492 VA Primary

Addresses

Primary practice location

1818 Amherst St Ste 101
Winchester, VA 22601-2894

Mailing address

220 Campus Blvd Ste 320
Winchester, VA 22601-2889
Phone (540) 536-5100

Other practice location 1

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Other practice location 2

174 Botanical Blvd
Winchester, VA 22603-3977
Phone (540) 536-5900

Other identifiers 1

IdentifierTypeStateIssuer
1205969128MedicaidVA

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Ethomas124039@ValleyHealth.direct-ci.com
Direct Messaging Address Ethomas124039@ValleyHealth.direct-ci.com
Direct Messaging Address Ethomas124039@ValleyHealth.direct-ci.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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080404000619 VA Practitioner - Physician Assistant 0840377552 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Enterprise IncGroup PAC ID 9931268091, 176 clinicians

Practice addresses (Care Compare)

1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Phone (540) 636-0300

1830 Amherst St
Winchester, VA 22601-2808
Phone (540) 667-1828

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

1860 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

1880 Amherst St
Winchester, VA 22601-2808

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110002492VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Oct 21, 2024 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Sep 23, 2019 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Sep 23, 2019 Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Winchester Medical Center CurrentSince Oct 21, 2024 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center Current Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

174 Botanical Blvd
Winchester, VA 22603
Phone (540) 536-5900

1818 Amherst St
Ste 101
Winchester, VA 22601
Phone (540) 450-0072

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

190 Campus Blvd
Ste 201
Winchester, VA 22601
Phone (540) 536-5980

220 Campus Blvd
Ste 100
Winchester, VA 22601

220 Campus Blvd
Ste 320
Winchester, VA 22601

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

Interoperability endpoints

  • Direct secure messaging: ethomas124039@valleyhealth.direct-ci.com

Organizations & group practices 9

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 6

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1205969128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 320",
            "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": "1818 AMHERST ST STE 101",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012894",
            "telephone_number": "540-450-0072",
            "fax_number": "540-450-0074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "174 Botanical Blvd",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226033977",
            "country_code": "US",
            "telephone_number": "540-536-5900",
            "fax_number": "540-536-5915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ELLENA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205969128",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ethomas124039@ValleyHealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1818 Amherst St Ste 101",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ethomas124039@ValleyHealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ethomas124039@ValleyHealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "174 Botanical Blvd",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226033977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.