NPIMap

Individual provider Active NPI

Katherine Renee Pence, PA-C

  • Physician Assistant
  • Charlottesville, VA
National Provider Identifier
1598207359
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110-005577 Issued in VA
Practice address
2250 Ivy Rd Ste 220
Charlottesville, VA 22903-4968
Phone
(434) 654-3710
NPI assigned
Nov 10, 2016
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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 0110-005577 VA Primary

Addresses

Primary practice location

2250 Ivy Rd Ste 220
Charlottesville, VA 22903-4968

Mailing address

121 Nationwide Dr
Lynchburg, VA 24502-4272
Phone (434) 384-1862

Other practice location 1

121 Nationwide Dr
Lynchburg, VA 24502-4272
Phone (434) 384-1862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170227001420 VA Practitioner - Physician Assistant 2264716851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Assoc of Central Virginia Inc.Group PAC ID 1951331131, 23 clinicians

Practice addresses (Care Compare)

121 Nationwide Dr
Lynchburg, VA 24502-4272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
90.58
Promoting interoperability
98
Improvement activities
40
Cost
86.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110-005577VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Martha Jefferson Medical Group LLC PastSince Jul 27, 2025 Accepting new patients
Martha Jefferson Hospital Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 10

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": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1598207359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NATIONWIDE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024272",
            "telephone_number": "434-384-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 IVY RD STE 220",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034968",
            "telephone_number": "434-654-3710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Nationwide Dr",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245024272",
            "country_code": "US",
            "telephone_number": "434-384-1862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENCE",
        "first_name": "KATHERINE",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-005577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.