Individual provider Active NPI

Makaylea Lahart, PA-C

  • Physician Assistant
  • Winchester, VA
National Provider Identifier
1619607165
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008732 Issued in VA
Practice address
212 Linden Dr Ste 152
Winchester, VA 22601-2893
Phone
(540) 667-0744
NPI assigned
Jun 15, 2022
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X 0110008732 VA Primary

Addresses

Primary practice location

212 Linden Dr Ste 152
Winchester, VA 22601-2893

Mailing address

220 Campus Blvd Ste 210
Winchester, VA 22601-2889
Phone (540) 459-1310

Other practice location 1

5301 Main St
Mount Jackson, VA 22842-9649
Phone (540) 459-1250

Other practice location 2

415A South St
Front Royal, VA 22630-2115
Phone (540) 636-0495

Other practice location 3

65 Riverton Commons Dr
Front Royal, VA 22630-6768
Phone (540) 635-0700

Other practice location 4

33820 Old Valley Pike Ste 2
Strasburg, VA 22657-3793
Phone (540) 459-1310

Other practice location 5

160 Merchant St Ste 200
Winchester, VA 22603-4772
Phone (540) 536-5100

Other practice location 6

607 E Jubal Early Dr
Winchester, VA 22601-5178
Phone (540) 536-5100

Other names 1

  • Makaylea Vicari Former name

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address mvicari1126658@soc.inova.org
Direct Messaging Address mvicari1126658@soc.inova.org
Direct Messaging Address mvicari1126658@soc.inova.org
Direct Messaging Address mvicari1126658@soc.inova.org
Direct Messaging Address mvicari1126658@soc.inova.org
Direct Messaging Address mvicari1126658@soc.inova.org

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221018001454 VA Practitioner - Physician Assistant 5698141588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Regional Enterprises, IncGroup PAC ID 0446164495, 53 clinicians

Practice addresses (Care Compare)

33699 Old Valley Pike
Suite B
Strasburg, VA 22657-3711
Phone (540) 536-5830

415 S St
Front Royal, VA 22630-2115
Phone (540) 536-0495

607 E Jubal Early Dr
Winchester, VA 22601-5178
Phone (540) 536-2232

65 Riverton Commons Dr
Front Royal, VA 22630-6768
Phone (540) 635-0700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110008732VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Aug 15, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 15, 2022 Accepting new patients
Valley Regional Enterprises, Inc Past Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

212 Linden Dr
Ste 152
Winchester, VA 22601
Phone (540) 667-0744

Interoperability endpoints

  • Direct secure messaging: mvicari1101063@valleyhealth.direct-ci.com

Organizations & group practices 4

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 3

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1619607165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 210",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012889",
            "telephone_number": "540-459-1310",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 LINDEN DR STE 152",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012893",
            "telephone_number": "540-667-0744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Main St",
            "address_purpose": "LOCATION",
            "city": "Mount Jackson",
            "state": "VA",
            "postal_code": "228429649",
            "country_code": "US",
            "telephone_number": "540-459-1250",
            "fax_number": "540-459-1251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415A South St",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226302115",
            "country_code": "US",
            "telephone_number": "540-636-0495",
            "fax_number": "540-636-0450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Riverton Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226306768",
            "country_code": "US",
            "telephone_number": "540-635-0700",
            "fax_number": "540-635-8174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33820 Old Valley Pike Ste 2",
            "address_purpose": "LOCATION",
            "city": "Strasburg",
            "state": "VA",
            "postal_code": "226573793",
            "country_code": "US",
            "telephone_number": "540-459-1310",
            "fax_number": "540-459-1311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Merchant St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226034772",
            "country_code": "US",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-5955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "607 E Jubal Early Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226015178",
            "country_code": "US",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-2206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAHART",
        "first_name": "MAKAYLEA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvicari1126658@soc.inova.org",
            "affiliation": "N",
            "address_1": "160 Merchant St Ste 200",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226034772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvicari1126658@soc.inova.org",
            "affiliation": "N",
            "address_1": "607 E Jubal Early Dr",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226015178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvicari1126658@soc.inova.org",
            "affiliation": "N",
            "address_1": "33820 Old Valley Pike Ste 2",
            "city": "Strasburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226573793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvicari1126658@soc.inova.org",
            "affiliation": "N",
            "address_1": "65 Riverton Commons Dr",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226306768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvicari1126658@soc.inova.org",
            "affiliation": "N",
            "address_1": "5301 Main St",
            "city": "Mount Jackson",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228429649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvicari1126658@soc.inova.org",
            "affiliation": "N",
            "address_1": "415A South St",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226302115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MAKAYLEA",
            "last_name": "VICARI",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.