Jennifer Denise Cunningham, M.D.
Individual provider Active NPI Family Medicine Physician · Mount Jackson, VA
NPI 1750469334 · NPPES record last updated Feb 19, 2025
Key facts
- NPI
- 1750469334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0116023279 (VA)
- Practice address
- 5173 Main St
Mount Jackson, VA 22842-9513 - Phone
- (540) 459-1350
- Fax
- (540) 459-1351
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shenandoah Memorial Hospital, Inc.
Practice addresses (Care Compare)
9166 N Congress St
New Market, VA 22844-9422
Phone (540) 459-1340
Hospital & facility affiliations
- Valley Health Home Health
- Amedisys Home Health Care
- Shenandoah Memorial Hospital
- Page Memorial Hospital, Inc
- Winchester Medical Center
- Sentara RMH Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140814001033 | VA | Practitioner - Family Practice | 6204826845 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116023279 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Memorial Hospital Inc. | Family Medicine | Current |
Accepting new patients |
| Valley Physician Enterprise, Inc. | Current |
Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Valley Physician Enterprise, Inc | Family Medicine | Current |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Past | Accepting new patients | |
| Valley Physician Enterprise 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
- jcunningham111571@valleyhealth.direct-ci.com
- jcunningham111571@soc.inova.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0116023279 | VA | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcunningham111571@soc.inova.org | ||
| Direct Messaging Address | jcunningham111571@soc.inova.org | ||
| Direct Messaging Address | jcunningham111571@soc.inova.org |
Other providers in Mount Jackson, VA
- Nancy L. Brubaker
- Careteam, LLC
- Amanda Elaine Catherman
- Mary Danley Catlett
- Sharon Sammons Clark
- Daniel Zale DDS PC
- DKKP Inc
- Larry L Fuchs
- Denise Miller Gochenour
- Kimberly R Harman
All providers in Mount Jackson, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.