Individual provider Active NPI

Amy Kathryn Lansing, PA-C

  • Physician Assistant
  • Charlottesville, VA
National Provider Identifier
1992339436
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110-007096 Issued in VA
Practice address
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone
(434) 654-7000
NPI assigned
Feb 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110-007096 VA Primary

Addresses

Primary practice location

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668

Mailing address

2457 N Berkshire Rd
Charlottesville, VA 22901-2412
Phone (919) 623-5293

Other practice location 1

200 Medical Park Blvd
Petersburg, VA 23805-9274
Phone (804) 765-5000

Other practice location 2

8260 Atlee Rd
Mechanicsville, VA 23116-1844
Phone (804) 764-6000

Other practice location 3

60 E Roslyn Ct
Colonial Heights, VA 23834-2980
Phone (804) 765-6700

Other practice location 4

2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-1110

Other practice location 5

1500 N 28th St
Richmond, VA 23223-5332
Phone (804) 225-1700

Other practice location 6

600 Gresham Dr Fl 5
Norfolk, VA 23507-1904
Phone (757) 388-3000

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
I20200508001251 VA Practitioner - Physician Assistant 2769813641 Reassigns benefits to 4 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
Martha Jefferson Medical Group LLCGroup PAC ID 5991889081, 197 clinicians

Practice addresses (Care Compare)

Charlottesville, VA 22911

1646 Park Ridge Dr
Crozet, VA 22932-3155
Phone (434) 654-2760

Hospital & facility affiliations

  • Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077
  • Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110-007096VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Jan 27, 2022 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jan 1, 2024 Accepting new patients
Sentara Medical Group CurrentSince Jul 12, 2023 Accepting new patients

Locations

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

600 Gresham Dr
Fl 5
Norfolk, VA 23507
Phone (757) 388-3198

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

Organizations & group practices 5

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": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1992339436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 N BERKSHIRE RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012412",
            "telephone_number": "919-623-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARTHA JEFFERSON DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114668",
            "telephone_number": "434-654-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238059274",
            "country_code": "US",
            "telephone_number": "804-765-5000",
            "fax_number": "804-765-5962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8260 Atlee Rd",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231161844",
            "country_code": "US",
            "telephone_number": "804-764-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 E Roslyn Ct",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238342980",
            "country_code": "US",
            "telephone_number": "804-765-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Health Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "228018679",
            "country_code": "US",
            "telephone_number": "540-689-1110",
            "fax_number": "540-689-1119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 N 28th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232235332",
            "country_code": "US",
            "telephone_number": "804-225-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Gresham Dr Fl 5",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANSING",
        "first_name": "AMY",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-007096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.