Individual provider Active NPI

Kerri F Stillwell, PA-C

  • Medical Physician Assistant
  • Lexington, VA
National Provider Identifier
1376514760
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110001505 Issued in VA
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.

Hospital & facility affiliations 4

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

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 16 clinicians

Practice addresses (Care Compare)

25 Northridge LN
Lexington, VA 24450-3399
Phone (540) 464-8700

Hospital & facility affiliations

  • Carilion Stonewall Jackson Hospital Hospital, Lexington, VA, CCN 491304

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Rockbridge Area Free Clinic CurrentSince Apr 22, 2024 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)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110001505 VA Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.