Individual provider Active NPI

Laura Grace Stade, PA

  • Physician Assistant
  • Harrisonburg, VA
National Provider Identifier
1215564307
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007108 Issued in VA
Practice address
136 W Elizabeth St Ste 102
Harrisonburg, VA 22802-3855
Phone
(540) 564-5100
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 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 0110007108 VA Primary

Addresses

Primary practice location

136 W Elizabeth St Ste 102
Harrisonburg, VA 22802-3855

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2896
Phone (540) 536-5100

Other practice location 1

190 Campus Blvd Ste 310
Winchester, VA 22601-2872
Phone (540) 536-0130

Other practice location 2

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

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lstade598814@soc.inova.org
Direct Messaging Address lstade598814@soc.inova.org

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
I20200424001990 VA Practitioner - Physician Assistant 1254761679 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians

Practice addresses (Care Compare)

136 W Elizabeth St
Harrisonburg, VA 22802-3811

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Winchester Medical Center CurrentSince Jun 28, 2021 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jun 28, 2021 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jun 28, 2021 Accepting new patients
Winchester Medical Center Current Accepting new patients
RMH Medical Group LLC CurrentSince Aug 1, 2024 Accepting new patients
Winchester Medical Center CurrentSince Jun 28, 2021 Accepting new patients
Valley Physician Enterprise, Inc Past Accepting new patients

Locations

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

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

136 W Elizabeth St
Ste 102
Harrisonburg, VA 22802
Phone (540) 564-5100

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

220 Campus Blvd
Ste 100
Winchester, VA 22601

190 Campus Blvd
Ste 310
Winchester, VA 22601
Phone (540) 536-0130

Interoperability endpoints

  • Direct secure messaging: lstade598814@soc.inova.org

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1215564307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012896",
            "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": "136 W ELIZABETH ST STE 102",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228023855",
            "telephone_number": "540-564-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Campus Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012872",
            "country_code": "US",
            "telephone_number": "540-536-0130",
            "fax_number": "540-536-0140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "STADE",
        "first_name": "LAURA",
        "middle_name": "GRACE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lstade598814@soc.inova.org",
            "affiliation": "N",
            "address_1": "190 Campus Blvd Ste 310",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lstade598814@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.