Individual provider Active NPI

Tanika Kay Cushing, PA-C

  • Physician Assistant
  • Fishersville, VA
National Provider Identifier
1891147328
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110006256 Issued in VA
Practice address
9 S Medical Park Dr
Fishersville, VA 22939-2333
Phone
(540) 245-7350
Fax
(540) 245-7360
NPI assigned
Jul 8, 2016
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110006256 VA Primary
Physician Assistant 363A00000X MA058338 PA

Addresses

Primary practice location

9 S Medical Park Dr
Fishersville, VA 22939-2333

Mailing address

PO Box 388
Fishersville, VA 22939-0388

Other practice location 1

1 Green Hills Dr
Verona, VA 24482-2654
Phone (540) 245-7425

Other practice location 2

103 Forestview Ave
Elkland, PA 16920-1403
Phone (814) 258-5117

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tanika.cushing.1@14718.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181220003164 VA Practitioner - Physician Assistant 2769778919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

1 Green Hills Dr
Verona, VA 24482-2654
Phone (540) 248-5802

53 S Medical Park Dr
Fishersville, VA 22939-2333
Phone (540) 332-5687

78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 332-5595

9 S Medical Park Dr
Fishersville, VA 22939-2333
Phone (540) 245-7350

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Penn Comprehensive Health Services CurrentSince Aug 26, 2024 Accepting new patients
North Penn Comprehensive Health Services CurrentSince Aug 26, 2024 Accepting new patients
Augusta Medical Group CurrentSince Nov 26, 2018 Accepting new patients

Locations

103 Forestview Ave
Elkland, PA 16920
Phone (814) 258-5117

40 W Wellsboro St
Mansfield, PA 16933
Phone (570) 662-1945

7 Water St
Wellsboro, PA 16901
Phone (570) 724-1010

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

9 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 245-7350

1 Green Hills Dr
Verona, VA 24482
Phone (540) 248-4487

Interoperability endpoints

  • Direct secure messaging: tanika.cushing.1@14718.direct.athenahealth.com

Organizations & group practices 4

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 2

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": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1891147328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 S MEDICAL PARK DR",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392333",
            "telephone_number": "540-245-7350",
            "fax_number": "540-245-7360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Green Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "VA",
            "postal_code": "244822654",
            "country_code": "US",
            "telephone_number": "540-245-7425",
            "fax_number": "540-245-7430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Forestview Ave",
            "address_purpose": "LOCATION",
            "city": "Elkland",
            "state": "PA",
            "postal_code": "169201403",
            "country_code": "US",
            "telephone_number": "814-258-5117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUSHING",
        "first_name": "TANIKA",
        "middle_name": "KAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006256",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tanika.cushing.1@14718.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "1 Green Hills Dr",
            "city": "Verona",
            "state": "VA",
            "country_code": "US",
            "postal_code": "244822654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.