NPIMap

Individual provider Active NPI

Jennifer Denise Cunningham, M.D.

  • Family Medicine Physician
  • Mount Jackson, VA
National Provider Identifier
1750469334
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116023279 Issued in VA
Practice address
5173 Main St
Mount Jackson, VA 22842-9513
Phone
(540) 459-1350
Fax
(540) 459-1351
NPI assigned
Nov 1, 2006
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116023279 VA Primary

Addresses

Primary practice location

5173 Main St
Mount Jackson, VA 22842-9513

Mailing address

5173 Main St
Mount Jackson, VA 22842-9513
Phone (540) 459-1350

Other practice location 1

759 S Main St
Woodstock, VA 22664-1154
Phone (540) 459-1383

Other practice location 2

9166 N Congress St
New Market, VA 22844-9422
Phone (540) 459-1340

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jcunningham111571@soc.inova.org
Direct Messaging Address jcunningham111571@soc.inova.org
Direct Messaging Address jcunningham111571@soc.inova.org

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
I20140814001033 VA Practitioner - Family Practice 6204826845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9166 N Congress St
New Market, VA 22844-9422
Phone (540) 459-1340

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0116023279VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Memorial Hospital, Inc. CurrentSince May 1, 2017 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jul 10, 2014 Accepting new patients
Valley Physician Enterprise, Inc Family Medicine CurrentSince Jul 10, 2014 Accepting new patients
Shenandoah Memorial Hospital Inc. Family Medicine CurrentSince May 1, 2017 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Shenandoah Memorial Hospital, Inc. Past Accepting new patients
Valley Physician Enterprise, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Valley Physician Enterprise Inc Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

5173 Main St
Mount Jackson, VA 22842
Phone (540) 459-1350

9166 N Congress St
New Market, VA 22844
Phone (540) 459-1340

220 Campus Blvd
Ste 100
Winchester, VA 22601

333 W Cork St
Ste 290
Winchester, VA 22601
Phone (540) 536-5121

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • Direct secure messaging: jcunningham111571@soc.inova.org
  • Direct secure messaging: jcunningham111571@valleyhealth.direct-ci.com

Organizations & group practices 9

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 7

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1750469334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5173 MAIN ST",
            "city": "MOUNT JACKSON",
            "state": "VA",
            "postal_code": "228429513",
            "telephone_number": "540-459-1350",
            "fax_number": "540-459-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5173 MAIN ST",
            "city": "MOUNT JACKSON",
            "state": "VA",
            "postal_code": "228429513",
            "telephone_number": "540-459-1350",
            "fax_number": "540-459-1351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 S Main St",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "VA",
            "postal_code": "226641154",
            "country_code": "US",
            "telephone_number": "540-459-1383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9166 N Congress St",
            "address_purpose": "LOCATION",
            "city": "New Market",
            "state": "VA",
            "postal_code": "228449422",
            "country_code": "US",
            "telephone_number": "540-459-1340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "JENNIFER",
        "middle_name": "DENISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116023279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcunningham111571@soc.inova.org",
            "affiliation": "N",
            "address_1": "5173 Main St",
            "city": "Mount Jackson",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228429513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcunningham111571@soc.inova.org",
            "affiliation": "N",
            "address_1": "759 S Main St",
            "city": "Woodstock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226641154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcunningham111571@soc.inova.org",
            "affiliation": "N",
            "address_1": "9166 N Congress St",
            "city": "New Market",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228449422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Jackson, VA

Sources for this page

Verify at the official NPI Registry.