Shenandoah Valley Medical System, Inc. - Medicare Primary Care in Martinsburg, WV

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Shenandoah Valley Medical System, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Martinsburg, West Virginia. The current practice location for Shenandoah Valley Medical System, Inc. is 99 Tavern Rd, Martinsburg, West Virginia. For appointments, you can reach them via phone at (304) 263-4999. The mailing address for Shenandoah Valley Medical System, Inc. is Po Box 1146, Martinsburg, West Virginia and phone number is (304) 263-4999.

Shenandoah Valley Medical System, Inc. is licensed to practice in West Virginia (license number ). The clinic also participates in the medicare program and its NPI number is 1083617823. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (304) 263-4999.

Contact Information

Shenandoah Valley Medical System, Inc.
99 Tavern Rd
Martinsburg
WV 25401-2890
(304) 263-4999
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameShenandoah Valley Medical System, Inc.
SpecialityClinic/Center
Location99 Tavern Rd, Martinsburg, West Virginia
Authorized Official Name and PositionMichael Hassing (CEO)
Authorized Official Contact3042634999
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shenandoah Valley Medical System, Inc.
Po Box 1146
Martinsburg
WV 25402-2890

Ph: (304) 263-4999		Shenandoah Valley Medical System, Inc.
99 Tavern Rd
Martinsburg
WV 25401-2890

Ph: (304) 263-4999

NPI Details:

NPI Number1083617823
Provider Enumeration Date05/24/2005
Last Update Date07/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9739093097
Medicare Enrollment IDO20031119000556

Medical Identifiers

Medical identifiers for Shenandoah Valley Medical System, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083617823NPI-NPPES
0035217000MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (West Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Shenandoah Valley Medical System, Inc. acts as a billing entity for following providers:
Provider NameDawn R Jones
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659376515
PECOS PAC ID: 4082518378
Enrollment ID: I20031119000762
Provider NameJeanette Fierro
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1518969625
PECOS PAC ID: 5193704765
Enrollment ID: I20040716000669
Provider NameAnthony Owunna
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588667844
PECOS PAC ID: 0042252736
Enrollment ID: I20050524000025
Provider NameKrista Lynn Hopkins
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1124023346
PECOS PAC ID: 5799719233
Enrollment ID: I20050923000136
Provider NameTeddy A Harris
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588663256
PECOS PAC ID: 1254366594
Enrollment ID: I20051005000629
Provider NameLinda H Gillet
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1154323269
PECOS PAC ID: 6800821158
Enrollment ID: I20051005000710
Provider NameGianluca La Monaca
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1093714768
PECOS PAC ID: 4486679768
Enrollment ID: I20051006000496
Provider NameSusan Martha Womeldorf
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336211796
PECOS PAC ID: 2163436999
Enrollment ID: I20060201000351
Provider NameAnne E Delanoy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124111091
PECOS PAC ID: 3678572435
Enrollment ID: I20061206000023
Provider NameMelisa Figueroa
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386643039
PECOS PAC ID: 2264515816
Enrollment ID: I20080206000193
Provider NameMichele M Sheetz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134135940
PECOS PAC ID: 6901802339
Enrollment ID: I20080904000468
Provider NameMelissa Welch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477798817
PECOS PAC ID: 6204992159
Enrollment ID: I20090302000581
Provider NameLisa Chism Fraine
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1053465328
PECOS PAC ID: 6002973351
Enrollment ID: I20090401000014
Provider NameCourtney Harpold Struthers
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720082605
PECOS PAC ID: 2264569847
Enrollment ID: I20100430000333
Provider NameConsuela J Cruden-parham
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1972784023
PECOS PAC ID: 4688703838
Enrollment ID: I20100526000326
Provider NameAntonio Santiago Garcia Merino
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1861635989
PECOS PAC ID: 9830223312
Enrollment ID: I20100819000431
Provider NameElizabeth R Shor
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730345182
PECOS PAC ID: 8729264437
Enrollment ID: I20110513000496
Provider NameLaurie Ann Diehl Lamp
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1467655126
PECOS PAC ID: 1254502560
Enrollment ID: I20110919000110
Provider NameMichelle M Abe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659690386
PECOS PAC ID: 8527230036
Enrollment ID: I20111005000534
Provider NameDena Yvonne Bowers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982909784
PECOS PAC ID: 0840464707
Enrollment ID: I20111111000121
Provider NameHeather Anne Eckenrode
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881971588
PECOS PAC ID: 6406095371
Enrollment ID: I20130625000798
Provider NameNgozi Nnennanya Ude Oshiyoye
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467616425
PECOS PAC ID: 5294901534
Enrollment ID: I20130906000853
Provider NameCheryl L Taitano
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205988847
PECOS PAC ID: 8820194095
Enrollment ID: I20141008002546
Provider NameRayna Amoreno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730439431
PECOS PAC ID: 2769632637
Enrollment ID: I20150303001232
Provider NameTiffany Guglielmo-roxby
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1124434238
PECOS PAC ID: 8022321355
Enrollment ID: I20150716000058
Provider NameNicole C Keefauver
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780065193
PECOS PAC ID: 1759698285
Enrollment ID: I20150916002044
Provider NameGlenn Kellis Mcclaugherty
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1619995669
PECOS PAC ID: 2769648088
Enrollment ID: I20150928001927
Provider NameDanielle Isbell
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1467852327
PECOS PAC ID: 4789804048
Enrollment ID: I20151109000001
Provider NameMichael Ting Li
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154435006
PECOS PAC ID: 7416053921
Enrollment ID: I20151120001679
Provider NameGwendolyn Orfan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538538871
PECOS PAC ID: 5193035350
Enrollment ID: I20151229001502
Provider NameIvelisse Morales-rios
Provider TypePractitioner - Psychologist Billing Independently
Provider IdentifiersNPI Number: 1710225917
PECOS PAC ID: 6204132335
Enrollment ID: I20160315002492
Provider NameChristina Van Hilst
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578911293
PECOS PAC ID: 5193018554
Enrollment ID: I20160721002540
Provider NameCherish L Crawford
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1811332505
PECOS PAC ID: 7012150022
Enrollment ID: I20160815000578
Provider NameNyela Nzingha Amadi
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1619332210
PECOS PAC ID: 6103112164
Enrollment ID: I20160831001490
Provider NameBridget Magnetti
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1316946973
PECOS PAC ID: 6901193960
Enrollment ID: I20160920001290
Provider NameElizabeth Kamerer
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1851328868
PECOS PAC ID: 9931183506
Enrollment ID: I20170110002260
Provider NameChristine R Baker
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861482796
PECOS PAC ID: 0749201150
Enrollment ID: I20170207001125
Provider NameJessica Henry
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1942408356
PECOS PAC ID: 9133295645
Enrollment ID: I20170327000003
Provider NameMary Kilianski
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1598203531
PECOS PAC ID: 5496023376
Enrollment ID: I20170619000153
Provider NameMary Dunn
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1740715465
PECOS PAC ID: 6406120286
Enrollment ID: I20170918001034
Provider NameAmy C Kidrick
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780099408
PECOS PAC ID: 3375809700
Enrollment ID: I20171117000478
Provider NameAmanda Giuliani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508380353
PECOS PAC ID: 9133487630
Enrollment ID: I20171211000177
Provider NameScott W Caldwell
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1922362128
PECOS PAC ID: 2961783568
Enrollment ID: I20180102001070
Provider NameJennifer Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548521800
PECOS PAC ID: 7012161151
Enrollment ID: I20180122000013
Provider NameApril Marshall
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1265933295
PECOS PAC ID: 6709140387
Enrollment ID: I20180507002358
Provider NameGlenda Leanne Kay
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1588164982
PECOS PAC ID: 0042574295
Enrollment ID: I20180516000759
Provider NameArifa I Khokar
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1942645874
PECOS PAC ID: 1153553391
Enrollment ID: I20180622000242
Provider NameLauren Kricheff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629060082
PECOS PAC ID: 2365748829
Enrollment ID: I20180709000005
Provider NameTanoja Rathi
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1619382579
PECOS PAC ID: 2668763459
Enrollment ID: I20180821001659
Provider NameCara Beth Burker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649765132
PECOS PAC ID: 4587913553
Enrollment ID: I20180823003495
Provider NameZekeya Varchay Lofton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578582987
PECOS PAC ID: 2365447216
Enrollment ID: I20181129001022
Provider NamePatricia Mahoney
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841267713
PECOS PAC ID: 1153341367
Enrollment ID: I20181213002431
Provider NameBipin Shrestha
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598147043
PECOS PAC ID: 4688989445
Enrollment ID: I20181226000238
Provider NameVanity Jones
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1538520671
PECOS PAC ID: 6204171002
Enrollment ID: I20181226001190
Provider NameErin D Stuller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1538536412
PECOS PAC ID: 4183969744
Enrollment ID: I20181231000852
Provider NameSabrina Austin
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1518439934
PECOS PAC ID: 3678812716
Enrollment ID: I20190306003589
Provider NameGretchen Herbert Wilber
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1538469952
PECOS PAC ID: 2860732930
Enrollment ID: I20190327002779
Provider NameSarah Kathleen Pollack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912479908
PECOS PAC ID: 5597006163
Enrollment ID: I20190408002930
Provider NameKelly A Lopez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588170815
PECOS PAC ID: 1850633256
Enrollment ID: I20190506001318
Provider NameTina Marie Malgarini Mawing
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730642737
PECOS PAC ID: 7719210046
Enrollment ID: I20190531000725
Provider NameAlexandrina M Gomes
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1245744606
PECOS PAC ID: 2466785936
Enrollment ID: I20190616000003
Provider NameBelinda Nicole Walsh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114013422
PECOS PAC ID: 0840326138
Enrollment ID: I20190822001312
Provider NameMichael Thomas Kelley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447354147
PECOS PAC ID: 7911189949
Enrollment ID: I20190830001759
Provider NameCynthia A Burns
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700876372
PECOS PAC ID: 5496722753
Enrollment ID: I20200211000022
Provider NameSarah Dey
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1770141202
PECOS PAC ID: 6406285733
Enrollment ID: I20200407002301
Provider NamePatricia Eubanks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235762337
PECOS PAC ID: 4486084852
Enrollment ID: I20200427000864
Provider NameBeth Ann Omundsen-ott
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356311161
PECOS PAC ID: 5991939803
Enrollment ID: I20200602000651
Provider NameJonathan David Moss
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871534933
PECOS PAC ID: 4880770072
Enrollment ID: I20200727003433
Provider NameKerry A Tucker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699383414
PECOS PAC ID: 9032534250
Enrollment ID: I20200805002284
Provider NameDavid Kulling
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528028800
PECOS PAC ID: 5496765554
Enrollment ID: I20201002002048
Provider NameSteven Choi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1700085263
PECOS PAC ID: 9335315894
Enrollment ID: I20201207001144
Provider NameKali Tichenor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659852283
PECOS PAC ID: 8325391543
Enrollment ID: I20210218000602
Provider NameMchaley Hoffman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700413515
PECOS PAC ID: 1850716515
Enrollment ID: I20210920003204
Provider NameDouglas Vansickle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386158913
PECOS PAC ID: 2567721582
Enrollment ID: I20210924000023
Provider NameMark Richard Rugarber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326619669
PECOS PAC ID: 3779971551
Enrollment ID: I20211027002694
Provider NameKimberly Michelle Rhodes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093478349
PECOS PAC ID: 7719377902
Enrollment ID: I20211202000072
Provider NameAmy Pelfrey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609277151
PECOS PAC ID: 2860877842
Enrollment ID: I20220912001015
Provider NameBreanna Nicole Lilly
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1659024347
PECOS PAC ID: 7416332127
Enrollment ID: I20220916000786
Provider NameMallory Michelle Trayer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033868963
PECOS PAC ID: 7810367000
Enrollment ID: I20230104002026
Provider NameVictoria Ann Flynn
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942831748
PECOS PAC ID: 0941671499
Enrollment ID: I20230120001983
Provider NameMelanie Ogburn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336858166
PECOS PAC ID: 3678945482
Enrollment ID: I20230203001744
Provider NameJennifer Glorioso
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1326698861
PECOS PAC ID: 7618309006
Enrollment ID: I20230216001204
Provider NameRebecca Wiles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750930293
PECOS PAC ID: 3173957172
Enrollment ID: I20230313001549
Provider NameBrittany Beard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619682408
PECOS PAC ID: 7113391145
Enrollment ID: I20230314003019
Provider NameMegan Rion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699471052
PECOS PAC ID: 5193199131
Enrollment ID: I20230315000298
Provider NamePamela S Mullins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740735273
PECOS PAC ID: 8325399207
Enrollment ID: I20230614001974
Provider NameBillirt Ambe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790049419
PECOS PAC ID: 1951766450
Enrollment ID: I20230629002271
Provider NameAndrew White
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255310686
PECOS PAC ID: 9335133784
Enrollment ID: I20230929003462
Provider NameManish Shah
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1902001936
PECOS PAC ID: 3971786690
Enrollment ID: I20231010000138
Provider NameAbdullah Hafid
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720614928
PECOS PAC ID: 2466806542
Enrollment ID: I20231127000721
Provider NameHeidi Lucas
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1750548533
PECOS PAC ID: 9931545134
Enrollment ID: I20240311001476

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.