NPIMap

Individual provider Active NPI

Rebecca Agbayani, PA-C

  • Physician Assistant
  • Winchester, VA
National Provider Identifier
1750855797
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008163 Issued in VA
Practice address
519 W Jubal Early Dr Ste 301
Winchester, VA 22601-6519
Phone
(540) 536-5500
Fax
(540) 536-5507
NPI assigned
Jan 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X MD
Physician Assistant 363A00000X 9939 GA
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 0110008163 VA Primary

Addresses

Primary practice location

519 W Jubal Early Dr Ste 301
Winchester, VA 22601-6519

Mailing address

519 W Jubal Early Dr Ste 301
Winchester, VA 22601-6519

Other identifiers 1

IdentifierTypeStateIssuer
1170909OtherNCCPA CERTIFICATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ragbayani962040@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
I20211206002555 VA Practitioner - Physician Assistant 6901234046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester Medical CenterGroup PAC ID 0244134021, 313 clinicians

Practice addresses (Care Compare)

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8700

1880 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-6721

519 W Jubal Early Dr
Winchester, VA 22601-6519

Hospital & facility affiliations

  • Valley Health Home Health Home health agency, Winchester, VA, CCN 497058
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005
  • Warren Memorial Hospital Hospital, Front Royal, VA, CCN 490033
  • Shenandoah Memorial Hospital Hospital, Woodstock, VA, CCN 491305

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center Single Specialty CurrentSince Jan 3, 2022 Accepting new patients
Winchester Medical Center Single Specialty CurrentSince Jan 3, 2022 Accepting new patients
Winchester Medical Center Single Specialty Current Accepting new patients
Valley Physician Enterprise, Inc. Single Specialty CurrentSince Jan 3, 2022 Accepting new patients
Winchester Medical Center Past Accepting new patients

Locations

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

220 Campus Blvd
Ste 100
Winchester, VA 22601

160 Merchant St
#100
Winchester, VA 22603
Phone (540) 536-5400

230 Costello Dr
Ste B
Winchester, VA 22602
Phone (540) 536-5400

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

519 W Jubal Early Dr
Ste 301
Winchester, VA 22601
Phone (540) 536-5500

1440 Amherst St
Winchester, VA 22601
Phone (540) 450-3339

Interoperability endpoints

  • Direct secure messaging: ragbayani962040@soc.inova.org
  • Direct secure messaging: ragbayani962040@valleyhealth.direct-ci.com

Organizations & group practices 13

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.

View all 13

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": "1547337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1750855797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W JUBAL EARLY DR STE 301",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W JUBAL EARLY DR STE 301",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016519",
            "telephone_number": "540-536-5500",
            "fax_number": "540-536-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBAYANI",
        "first_name": "REBECCA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-13",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9939",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERTIFICATION",
            "identifier": "1170909",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ragbayani962040@soc.inova.org",
            "affiliation": "N",
            "address_1": "1440 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226013010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.