NPIMap

Individual provider Active NPI

Lisa L Behneke, PAC

  • Medical Physician Assistant
  • Winchester, VA
National Provider Identifier
1801807797
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110-001320 Issued in VA
Practice address
1880 Amherst Street
Suite 100 and Suite 200
Winchester, VA 22601
Phone
(540) 662-0306
Fax
(855) 264-2066
NPI assigned
Aug 10, 2006
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110-001320 VA Primary

Addresses

Primary practice location

1880 Amherst Street
Suite 100 and Suite 200
Winchester, VA 22601

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2896
Phone (540) 662-0306

Other practice location 1

351 Valley Health Way # 200
Front Royal, VA 22630-6480
Phone (540) 636-0600

Other identifiers 2

IdentifierTypeStateIssuer
P00067402OtherRAIL ROAD MEDICARE
P00656321OtherRAILROAD MEDICARE

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address lbehneke124217@soc.inova.org
Direct Messaging Address lbehneke124217@soc.inova.org
Direct Messaging Address lbehneke124217@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
I20080321000013 VA Practitioner - Physician Assistant 0143306886 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

2410 Atherholt Rd
Lynchburg, VA 24501-2148
Phone (434) 200-1800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110-001320VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Enterprise, Inc. CurrentSince May 1, 2018 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince May 19, 2022 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince May 1, 2018 Accepting new patients
Centra Medical Group, LLC CurrentSince Jan 20, 2025 Accepting new patients
Centra Medical Group, LLC CurrentSince Jan 20, 2025 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince May 19, 2022 Accepting new patients
Warren Memorial Hospital, Inc. Past Accepting new patients
Warren Memorial Hospital, Inc. Past Accepting new patients
Page Memorial Hospital, Inc. Past Accepting new patients
Valley Physician Enterprise, Inc Past Accepting new patients
Warren Memorial Hospital Occupaitonal Health Past Accepting new patients

Locations

414 Park Ave
Danville, VA 24541
Phone (434) 791-4892

900 W 3rd St
Farmville, VA 23901
Phone (434) 392-4370

140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297

1077 N Shenandoah Ave
#B
Front Royal, VA 22630
Phone (540) 636-0627

351 Valley Health Way
Ste 200
Front Royal, VA 22630
Phone (540) 631-3700

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

351 Valley Health Way
#200
Front Royal, VA 22630
Phone (540) 636-0600

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

291 McBride Ln
Gretna, VA 24557
Phone (434) 656-1274

2410 Atherholt Rd
Lynchburg, VA 24501
Phone (434) 200-5252

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

1039 Mayberry Crossing Dr
Ste B
Moneta, VA 24121

1880 Amherst St
Ste 200
Winchester, VA 22601
Phone (540) 662-0306

190 Campus Blvd
Ste 201
Winchester, VA 22601
Phone (540) 536-5980

1880 Amherst St
Ste 100
Winchester, VA 22601
Phone (540) 662-0306

220 Campus Blvd
Ste 100
Winchester, VA 22601

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

Organizations & group practices 12

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 9

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1801807797",
    "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": "540-662-0306",
            "fax_number": "855-264-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 AMHERST STREET",
            "address_2": "SUITE 100 AND SUITE 200",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-662-0306",
            "fax_number": "855-264-2066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 Valley Health Way # 200",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226306480",
            "country_code": "US",
            "telephone_number": "540-636-0600",
            "fax_number": "540-636-0629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHNEKE",
        "first_name": "LISA",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110-001320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00067402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00656321",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbehneke124217@soc.inova.org",
            "affiliation": "N",
            "address_1": "1077 N Shenandoah Ave Ste B",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226303546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbehneke124217@soc.inova.org",
            "affiliation": "N",
            "address_1": "351 Valley Health Way # 200",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226306480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbehneke124217@soc.inova.org",
            "affiliation": "N",
            "address_1": "1880 Amherst Street",
            "address_2": "Suite 100 and Suite 200",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.