Individual provider Active NPI

Mary Courtney Capstack, PA

  • Physician Assistant
  • Harrisonburg, VA
National Provider Identifier
1508258013
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004868 Issued in VA
Practice address
1871 Evelyn Byrd Ave
Harrisonburg, VA 22801-3487
Phone
(540) 564-5800
NPI assigned
Feb 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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 0110004868 VA Primary

Addresses

Primary practice location

1871 Evelyn Byrd Ave
Harrisonburg, VA 22801-3487

Mailing address

1871 Evelyn Byrd Ave
Harrisonburg, VA 22801-3487
Phone (540) 564-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150629000025 VA Practitioner - Physician Assistant 8426376716 Reassigns benefits to 2 organizations
I20170606002187 NC Practitioner - Physician Assistant 8426376716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians

Practice addresses (Care Compare)

136 W Elizabeth St
Harrisonburg, VA 22802-3811

1871 Evelyn Byrd Ave
Harrisonburg, VA 22801-3487
Phone (540) 689-4300

Hospital & facility affiliations

  • Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004
  • Augusta Health Hospital, Fishersville, VA, CCN 490018

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Health Medical Assoc CurrentSince Apr 19, 2015 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince May 8, 2017 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince May 8, 2017 Accepting new patients
Dominion Health Medical Assoc CurrentSince Apr 19, 2015 Accepting new patients
Rockingham Memorial Hospital Past Accepting new patients

Locations

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

15210 L P Bailey Memorial Hwy
Nathalie, VA 24577
Phone (434) 349-3113

2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095

2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100

Interoperability endpoints

  • Direct secure messaging: mary.capstack.1@14718.direct.athenahealth.com

Organizations & group practices 8

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 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1508258013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 EVELYN BYRD AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013487",
            "telephone_number": "540-564-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 EVELYN BYRD AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013487",
            "telephone_number": "540-564-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPSTACK",
        "first_name": "MARY",
        "middle_name": "COURTNEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-21",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.