Active NPI
Kerri F Stillwell, PA-C
- Medical Physician Assistant
- Lexington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110001505
- Practice address
- 110 Houston Street
Lexington, VA 24450-0912 - Phone
- (540) 463-2103
- Fax
- (540) 463-2904
- NPI assigned
- Feb 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Lexington, VA
- NPI 1205267002
VA
-
- Federally Qualified Health Center (FQHC)
- Lexington, VA
- NPI 1780465468
-
- Federally Qualified Health Center (FQHC)
- Lexington, VA
- NPI 1194468553
-
- Federally Qualified Health Center (FQHC)
- Buena Vista, VA
- NPI 1265175608
-
- Federally Qualified Health Center (FQHC)
- Lexington, VA
- NPI 1508646571
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lexington, VA
- NPI 1518950484
Hospital
-
- Multi-Specialty Clinic/Center
- Lexington, VA
- NPI 1750936977
Hospital
-
- Emergency Medicine Physician
- Lexington, VA
- NPI 1942854427
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rockbridge Area Free Clinic
Practice addresses (Care Compare)
25 Northridge LN
Lexington, VA 24450-3399
Phone (540) 464-8700
Hospital & facility affiliations
- Carilion Stonewall Jackson Hospital
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070718000522 | VA | Practitioner - Physician Assistant | 7214038447 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockbridge Area Free Clinic | Current | Accepting new patients |
Locations
143 Greenhouse Rd
Lexington, VA 24450
Phone (540) 463-5555
25 Northridge Ln
Lexington, VA 24450
Phone (540) 464-8700
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110001505 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
110 Houston Street
Lexington, VA 24450-0912
Mailing address
PO Box 912
Lexington, VA 24450-0912
Phone (540) 463-2103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2008.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1376514760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 912",
"city": "LEXINGTON",
"state": "VA",
"postal_code": "244500912",
"telephone_number": "540-463-2103",
"fax_number": "540-463-2904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HOUSTON STREET",
"city": "LEXINGTON",
"state": "VA",
"postal_code": "244500912",
"telephone_number": "540-463-2103",
"fax_number": "540-463-2904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILLWELL",
"first_name": "KERRI",
"middle_name": "F",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-01",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110001505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.