NPIMap

Individual provider Active NPI

Beth A Prostejovsky, PA-C

  • Physician Assistant
  • Front Royal, VA
National Provider Identifier
1750614335
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001257 Issued in VA
Practice address
120 N Commerce Ave
Front Royal, VA 22630-2660
Phone
(540) 635-0800
Fax
(540) 635-0801
NPI assigned
Sep 14, 2009
Last updated
Mar 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110001257 VA Primary

Addresses

Primary practice location

120 N Commerce Ave
Front Royal, VA 22630-2660

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2896
Phone (540) 536-5100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bprostejovsky744456@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
I20201119000912 VA Practitioner - Physician Assistant 8921285537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Memorial Hospital, Inc.Group PAC ID 2365330347, 121 clinicians

Practice addresses (Care Compare)

120 N Commerce St
Front Royal, VA 22630-2660
Phone (540) 635-0800

120 N Commerce St
Suite 102
Front Royal, VA 22630-4417

315 W 10TH St
Front Royal, VA 22630-2807
Phone (540) 631-7337

351 Valley Health Way
Front Royal, VA 22630-6480
Phone (540) 636-0300

67 Riverton Commons Dr
Front Royal, VA 22630-6768
Phone (540) 635-0848

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4475AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Memorial Hospital, Inc. CurrentSince Dec 14, 2020 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Dec 14, 2020 Accepting new patients
Tucson Endocrine Associates PLLC Past Accepting new patients
Warren Memorial Hospital Occupaitonal Health Past Accepting new patients

Locations

120 N Commerce Ave
Front Royal, VA 22630
Phone (540) 635-0730

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

220 Campus Blvd
Ste 100
Winchester, VA 22601

Interoperability endpoints

  • Direct secure messaging: bprostejovsky744456@soc.inova.org
  • Direct secure messaging: bprostejovsky744456@valleyhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCACBA

Organizations & group practices 5

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 5

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": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614988800000",
    "number": "1750614335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012896",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N COMMERCE AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302660",
            "telephone_number": "540-635-0800",
            "fax_number": "540-635-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSTEJOVSKY",
        "first_name": "BETH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bprostejovsky744456@soc.inova.org",
            "affiliation": "N",
            "address_1": "120 N Commerce Ave",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226302660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

Verify at the official NPI Registry.