Individual provider Active NPI

Jane M Lynch

  • Dermatopathology Physician
  • Staunton, VA
National Provider Identifier
1952370553
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
0101-228437 Issued in VA
Practice address
1600 N Coalter St
Suite 19
Staunton, VA 24401-2551
Phone
(540) 885-4500
Fax
(540) 885-4600
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 0101-228437 VA Primary

Addresses

Primary practice location

1600 N Coalter St
Suite 19
Staunton, VA 24401-2551

Mailing address

1600 N Coalter St
Suite 19
Staunton, VA 24401-2551
Phone (540) 885-4500

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050217000729 VA Practitioner - DermatologyPractitioner - Pathology 6002868072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shenandoah Dermatology, P.C..Group PAC ID 9739499344, 11 clinicians

Practice addresses (Care Compare)

16 Ivy Ridge LN
Suite 138
Fishersville, VA 22939-2354
Phone (540) 885-4500

1600 N Coalter St
Staunton, VA 24401-2566

3322 Emmaus Rd
Rockingham, VA 22801-2685
Phone (540) 885-4500

45 Commerce Park Dr
Raphine, VA 24472-2547
Phone (540) 885-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as group
Quality
80.99
Improvement activities
40
Cost
74.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions1615
Removal or shaving of skin growth222
Skin biopsy52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101-228437VAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Dermatology, P.C. CurrentSince Jul 15, 2015 Accepting new patients
MCV Associated Physicians PastSince Sep 28, 2021 Accepting new patients

Locations

45 Commerce Park Dr
Raphine, VA 24472
Phone (540) 885-4500

3322 Emmaus Rd
Rockingham, VA 22801
Phone (540) 433-2431

1600 N Coalter St
Ste 19
Staunton, VA 24401
Phone (540) 885-4500

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.

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1952370553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N COALTER ST",
            "address_2": "SUITE 19",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244012551",
            "telephone_number": "540-885-4500",
            "fax_number": "540-885-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N COALTER ST",
            "address_2": "SUITE 19",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244012551",
            "telephone_number": "540-885-4500",
            "fax_number": "540-885-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "JANE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "VA",
            "license": "0101-228437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

Verify at the official NPI Registry.