NPIMap

Individual provider Active NPI

Andrew Shiflett

  • Medical Physician Assistant
  • Newport News, VA
National Provider Identifier
1689127540
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110005230 Issued in VA
Practice address
11815 Fountain Way Ste 300
Newport News, VA 23606-4448
Phone
(866) 849-0692
NPI assigned
Jul 27, 2016
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 6438 SC
Medical Physician Assistant 363AM0700X 0010-06506 NC
Medical Physician Assistant 363AM0700X 0110005230 VA Primary

Addresses

Primary practice location

11815 Fountain Way Ste 300
Newport News, VA 23606-4448

Mailing address

2200 Pump Rd
Richmond, VA 23233-3539

Other practice location 1

2200 Pump Rd
Richmond, VA 23233-3539
Phone (804) 741-7141

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
I20161031000603 VA Practitioner - Physician Assistant 2264710086 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harmony at Home Provider Services LLCGroup PAC ID 4587030804, 25 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1504 Santa Rosa Rd
RM 116
Henrico, VA 23229-5109
Phone (804) 210-3103

9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-06506NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Primary Care CurrentSince Sep 19, 2016 Accepting new patients
WFS Home Care Enterprises, Inc. Dba at Home Harmony Pharmacy LTC PastSince Apr 1, 2022 Accepting new patients

Locations

7140 Hull Street Rd
Ste 101
North Chesterfield, VA 23235
Phone (804) 276-4141

1800 Glenside Dr
Ste 105
Richmond, VA 23226
Phone (804) 288-0399

2200 Pump Rd
Ste 100
Richmond, VA 23233
Phone (804) 741-7141

Interoperability endpoints

  • Direct secure messaging: andrew.shiflett.1@26346.direct.athenahealth.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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1689127540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PUMP RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232333539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11815 FOUNTAIN WAY STE 300",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064448",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Pump Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232333539",
            "country_code": "US",
            "telephone_number": "804-741-7141",
            "fax_number": "804-741-6082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIFLETT",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-27",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "6438",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-06506",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110005230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.