Active NPI
Justin Lee Nolen, P.A.
- Physician Assistant
- Fishersville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110002178
- Practice address
- 70 Medical Center Cir Ste 305
Fishersville, VA 22939-2273 - Phone
- (540) 932-5747
- Fax
- (540) 932-5748
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110002178 | VA | Primary |
| Surgical Physician Assistant | 363AS0400X | 0110002718 | VA |
Addresses
Primary practice location
70 Medical Center Cir Ste 305
Fishersville, VA 22939-2273
Mailing address
PO Box 388
Fishersville, VA 22939-0388
Phone (540) 932-5747
Other practice location 1
2509 Pleasant Run Dr
Harrisonburg, VA 22801-8720
Phone (540) 689-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891829693 | Medicaid | VA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
2303 N Augusta St
Suite E
Staunton, VA 24401-2597
Phone (540) 886-4510
53 S Medical Park Dr
Fishersville, VA 22939-2333
Phone (540) 332-5687
70 Medical Ctr Cir
Fishersville, VA 22939-2273
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110002178 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Medical Group | Current | Accepting new patients |
Locations
540 Radford Ln
Ste 250
Charlottesville, VA 22903
Phone (434) 823-7596
53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687
70 Medical Center Cir
Ste 305
Fishersville, VA 22939
Phone (540) 245-5747
644 University Blvd
Harrisonburg, VA 22801
Phone (540) 564-5100
30 Greenhouse Rd
Lexington, VA 24450
Phone (540) 464-3465
Organizations & group practices 2
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.
-
- General Practice Physician
- Fishersville, VA
- NPI 1245489590
-
- Rural Health Clinic/Center
- Lexington, VA
- NPI 1265015580
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fishersville, VA
- NPI 1053301127
-
- Home Health Agency
- Fishersville, VA
- NPI 1992771067
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
-
- General Acute Care Hospital
- Harrisonburg, VA
- NPI 1780694372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1891829693",
"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",
"telephone_number": "540-932-5747",
"fax_number": "540-932-5748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 MEDICAL CENTER CIR STE 305",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392273",
"telephone_number": "540-932-5747",
"fax_number": "540-932-5748"
}
],
"practiceLocations": [
{
"address_1": "2509 Pleasant Run Dr",
"address_purpose": "LOCATION",
"city": "Harrisonburg",
"state": "VA",
"postal_code": "228018720",
"country_code": "US",
"telephone_number": "540-689-4500",
"fax_number": "757-579-8597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLEN",
"first_name": "JUSTIN",
"middle_name": "LEE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110002178",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "VA",
"license": "0110002718",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891829693",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fishersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.