Individual provider Active NPI

Martha Foster Stayer, PA-C

  • Physician Assistant
  • Winchester, VA
National Provider Identifier
1356613327
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003792 Issued in VA
Practice address
1867 Amherst St
Winchester, VA 22601-2801
Phone
(540) 667-8724
Fax
(540) 723-0741
NPI assigned
Feb 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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 0110003792 VA Primary

Addresses

Primary practice location

1867 Amherst St
Winchester, VA 22601-2801

Mailing address

148 Linden Dr
Suite 101
Winchester, VA 22601-6902
Phone (540) 504-0075

Other identifiers 1

IdentifierTypeStateIssuer
1356613327MedicaidVA

Other names 1

  • Miss Martha P Foster Former name

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
I20120914000743 VA Practitioner - Physician Assistant 9335397470 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jul 11, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 11, 2017 Accepting new patients

Locations

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

8644 Sudley Rd
#220
Manassas, VA 20110

1867 Amherst St
Winchester, VA 22601
Phone (540) 504-0547

20 S Stewart St
Ste 200
Winchester, VA 22601
Phone (540) 313-4358

Organizations & group practices 2

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": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1356613327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 LINDEN DR",
            "address_2": "SUITE 101",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016902",
            "telephone_number": "540-504-0075",
            "fax_number": "540-678-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012801",
            "telephone_number": "540-667-8724",
            "fax_number": "540-723-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAYER",
        "first_name": "MARTHA",
        "middle_name": "FOSTER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356613327",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "FOSTER",
            "middle_name": "P",
            "prefix": "MISS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.