NPIMap

Individual provider Active NPI

Michaela Lynn Vitez, PA-C

  • Physician Assistant
  • Annandale, VA
National Provider Identifier
1275108607
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007940 Issued in VA
Practice address
7432 Little River Tpke
Annandale, VA 22003-3013
Phone
(703) 658-7060
NPI assigned
May 27, 2021
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0110007940 VA Primary

Addresses

Primary practice location

7432 Little River Tpke
Annandale, VA 22003-3013

Mailing address

21772 Slate Range Ter Unit 102
Ashburn, VA 20147-7801
Phone (301) 616-7901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20220712001323 WV Practitioner - Physician Assistant 3678976685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000

3669 Teays Valley Rd
Hurricane, WV 25526-9695
Phone (304) 414-4841

424 Division St
South Charleston, WV 25309-1400
Phone (304) 767-7870

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 766-3600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Memorial Hospital CurrentSince Apr 14, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jun 28, 2022 Accepting new patients
Health and Education Building CurrentSince Jun 28, 2022 Accepting new patients

Locations

2000 Foundation Way
Ste 3500
Martinsburg, WV 25401
Phone (304) 260-0160

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

Interoperability endpoints

  • Direct secure messaging: mvitez343688@direct.wvuhsdirect.com

Organizations & group practices 4

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1275108607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21772 SLATE RANGE TER UNIT 102",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477801",
            "telephone_number": "301-616-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7432 LITTLE RIVER TPKE",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033013",
            "telephone_number": "703-658-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITEZ",
        "first_name": "MICHAELA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.