Individual provider Active NPI

Sheradyn Pitzer, PA-C

  • Physician Assistant
  • King George, VA
National Provider Identifier
1689040354
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004991 Issued in VA
Practice address
11131 Journal Pkwy Ste a
King George, VA 22485-3468
Phone
(540) 741-6982
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0110004991 VA
Physician Assistant 363A00000X 0110004991 VA Primary

Addresses

Primary practice location

11131 Journal Pkwy Ste a
King George, VA 22485-3468

Mailing address

1340 Central Park Blvd Ste 100
Fredericksburg, VA 22401-4940
Phone (540) 741-4254

Other practice location 1

817 Volvo Pkwy
Chesapeake, VA 23320-2855
Phone (757) 668-4630

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
I20151006002950 VA Practitioner - Physician Assistant 3375851652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
MWHC Urgent Care LLCGroup PAC ID 8921338427, 20 clinicians

Practice addresses (Care Compare)

11131 Journal Pkwy
Suite a
King George, VA 22485-3468
Phone (540) 709-5173

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110004991VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MWHC Urgent Care LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

11131 Journal Pkwy
Ste A
King George, VA 22485
Phone (540) 709-5173

Interoperability endpoints

  • Direct secure messaging: spitzer135013@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 2

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 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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1689040354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CENTRAL PARK BLVD STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014940",
            "telephone_number": "540-741-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11131 JOURNAL PKWY STE A",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224853468",
            "telephone_number": "540-741-6982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 Volvo Pkwy",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233202855",
            "country_code": "US",
            "telephone_number": "757-668-4630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITZER",
        "first_name": "SHERADYN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0110004991",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King George, VA

Sources for this page

Verify at the official NPI Registry.