Active NPI
James A Kinder III, PA-C
- Physician Assistant
- Waynesboro, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110002771
- Practice address
- 201 Lew Dewitt Blvd Ste a
Waynesboro, VA 22980-1663 - Phone
- (540) 245-7940
- Fax
- (540) 245-7941
- NPI assigned
- Aug 4, 2005
- Last updated
- Sep 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-000242 | IL | |
| Physician Assistant | 363A00000X | 0110002771 | VA | Primary |
Addresses
Primary practice location
201 Lew Dewitt Blvd Ste a
Waynesboro, VA 22980-1663
Mailing address
PO Box 388
Fishersville, VA 22939-0388
Phone (540) 932-5275
Other practice location 1
78 Medical Center Dr
Fishersville, VA 22939-2332
Phone (540) 932-4464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085000242 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22019 Hwy 99
Suite 120
Edmonds, WA 98026-8002
Phone (864) 664-3984
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-000242 | IL | MD | Physician Assistant |
| 0110002771 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Networks on Demand, LLC | Current | Accepting new patients | |
| Peacehealth Networks on Demand, LLC | Past | Accepting new patients | |
| Zoomcare PC | Past | Accepting new patients | |
| Peacehealth Networks on Demand, LLC | Past | Accepting new patients |
Locations
10541 NE 4th St
Bellevue, WA 98004
Phone (954) 881-4151
22019 Highway 99
Ste 120
Edmonds, WA 98026
19220 Alderwood Mall Pkwy
Ste 145
Lynnwood, WA 98036
Interoperability endpoints
- https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4
- james.kinder.1@14718.direct.athenahealth.com
- james.kinder.2@30646.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Zoom Management
- General Practice Physician
- Tigard, OR
- NPI 1023582178
WA
-
- Emergency Medicine Physician
- Fishersville, VA
- NPI 1083706121
-
dba ZoomCare- Alderwood
- Non-Pharmacy Dispensing Site
- Lynnwood, WA
- NPI 1588274476
-
dba ZoomCare- Bellevue B
- Non-Pharmacy Dispensing Site
- Bellevue, WA
- NPI 1740890268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1396746939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 388",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229390388",
"telephone_number": "540-932-5275",
"fax_number": "540-932-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 LEW DEWITT BLVD STE A",
"city": "WAYNESBORO",
"state": "VA",
"postal_code": "229801663",
"telephone_number": "540-245-7940",
"fax_number": "540-245-7941"
}
],
"practiceLocations": [
{
"address_1": "78 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Fishersville",
"state": "VA",
"postal_code": "229392332",
"country_code": "US",
"telephone_number": "540-932-4464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINDER",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-04",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085-000242",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110002771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "085000242",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waynesboro, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.