Caitlin Andersen
Individual provider Active NPI Physician Assistant · Winchester, VA
NPI 1407699663 · NPPES record last updated Feb 26, 2025
Key facts
- NPI
- 1407699663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110010670 (VA)
- Practice address
- 400 Campus Blvd Ste 210
Winchester, VA 22601-6906 - Phone
- (540) 536-3470
- Fax
- (540) 536-3471
- NPI assigned
- Jun 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Physician Enterprise Inc
Practice addresses (Care Compare)
1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Phone (540) 636-0300
1830 Amherst St
Winchester, VA 22601-2808
Phone (540) 667-1828
1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000
1860 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000
1880 Amherst St
Winchester, VA 22601-2808
Hospital & facility affiliations
- Winchester Medical Center
- Shenandoah Memorial Hospital
- Valley Health War Memorial Hospital
- Page Memorial Hospital, Inc
- Warren Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250312000056 | VA | Practitioner - Physician Assistant | 9830610401 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110010670 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winchester Medical Center | Current |
Accepting new patients | |
| Shenandoah Valley Pathology Laboratories Inc | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc. | Current |
Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Valley Physician Enterprise Inc | Current |
Accepting new patients | |
| Winchester Medical Center | Current |
Accepting new patients | |
| Valley Physician Enterprise, Inc | Past | Accepting new patients |
Locations
1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300
220 Campus Blvd
Ste 320
Winchester, VA 22601
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
Interoperability endpoints
- https://epicproxy.et1320.epichosted.com/FHIRProxy/api/FHIR/R4
- candersen1101732@valleyhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110010670 | VA | Yes |
Addresses
Primary practice location
400 Campus Blvd Ste 210
Winchester, VA 22601-6906
Mailing address
220 Campus Blvd Ste 320
Winchester, VA 22601-2889
Phone (540) 536-5100
Other practice location 1
1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | candersen1101732@ValleyHealth.direct-ci.com | ||
| Direct Messaging Address | candersen1101732@ValleyHealth.direct-ci.com |
Other providers in Winchester, VA
- Kelli Amoroso
- Edward L Amos
- Ams Transport Corporation
- Ams Transport Corporation
- Beth Lynn Ancell
- Abigail Anderson
- Ashley Katherine Anderson
- Cynthia Anderson
- James Edward Anderson
- John Godfrey Anderson Jr.
All providers in Winchester, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.