SHENANDOAH MEMORIAL HOSPITAL INC.
NPI 1053842468
Clinic/Center - Rural Health in Mount Jackson, VA

Active since March 27, 2017
5173 MAIN ST, MOUNT JACKSON, VA 22842(540) 459-1350(540) 459-1351 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 6, 2020, Feb 23, 2018, Mar 27, 2017 (3 updates tracked since 2017).

About Shenandoah Memorial Hospital Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHENANDOAH MEMORIAL HOSPITAL INC. (NPI 1053842468) is a healthcare organization registered as a rural health in Mount Jackson, Virginia and active in the NPI registry since March 2017. The organization lists Renee Y Baker, Manger, Insurance Credentialing, as its authorized official.

NPPES Registry Identity

NPI1053842468
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSHENANDOAH MEMORIAL HOSPITAL INC.
Location Address5173 MAIN STMount Jackson, VA 22842-9513
Mailing Address5173 Main StMount Jackson, VA 22842-9513 · (540) 459-1350 · Fax (540) 459-1351
Fax(540) 459-1351
Organization SubpartNo
Authorized OfficialRenee Y BakerManger, Insurance Credentialing · (540) 536-0231
Enumeration DateMarch 27, 2017
Last NPPES UpdateApril 6, 20203 updates tracked since enumeration
NPPES CertifiedApril 6, 2020
✔ NPI 1053842468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
5173 MAIN ST, Mount Jackson, VA 22842

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shenandoah Memorial Hospital Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20040115001156Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

414

Medicare enrollment records show 414 clinicians reassign Medicare billing to Shenandoah Memorial Hospital Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 31

Emergency Medicine81
Diagnostic Radiology60
Psychiatry51
Nurse Practitioner41
Internal Medicine37
Family Practice29
Cardiovascular Disease (Cardiology)20
General Surgery15
23 other specialties80

Nearest to this location (20)

See all 414
Family Practice
NPI 1750469334
5173 MAIN ST
Mount Jackson, VA 22842
(540) 459-1350
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1780535559
9166 N CONGRESS ST
New Market, VA 22844
(540) 459-1340
✔ PECOS✔ Accepts Medicare7.9 mi
Nurse Practitioner
NPI 1265216816
9166 N CONGRESS ST
New Market, VA 22844
(540) 631-3700
✔ PECOS✔ Accepts Medicare7.9 mi
Family Practice
NPI 1447216163
9166 N CONGRESS ST
New Market, VA 22844
(540) 459-1340
✔ PECOS7.9 mi
Family Practice
NPI 1497318497
9166 N CONGRESS ST
New Market, VA 22844
(540) 459-1340
✔ PECOS✔ Accepts Medicare7.9 mi
Orthopedic Surgery
NPI 1275519654
9166 N CONGRESS ST
New Market, VA 22844
(540) 459-1380
✔ PECOS7.9 mi
Neurosurgery
NPI 1205897915
9166 N CONGRESS ST
New Market, VA 22844
(540) 459-1340
✔ PECOS7.9 mi
Pediatric Medicine
NPI 1760575567
1065 S MAIN ST
Woodstock, VA 22664
(540) 459-3435
✔ PECOS9.1 mi
Nurse Practitioner
NPI 1225428220
240 SHENANDOAH ST
Woodstock, VA 22664
(540) 459-8000
✔ PECOS✔ Accepts Medicare9.2 mi
Clinical Social Worker
NPI 1962850669
124 VALLEY VISTA DR
Woodstock, VA 22664
(540) 459-9373
✔ PECOS9.4 mi
Emergency Medicine
NPI 1790764009
759 S MAIN ST
Woodstock, VA 22664
(540) 459-1100
✔ PECOS✔ Accepts Medicare9.7 mi
Orthopedic Surgery
NPI 1396709879
759 S MAIN ST STE 200
Woodstock, VA 22664
(540) 459-1383
✔ PECOS✔ Accepts Medicare9.7 mi
Internal Medicine
NPI 1366641672
759 S MAIN ST SUITE 300
Woodstock, VA 22664
(540) 459-1540
✔ PECOS✔ Accepts Medicare9.7 mi
Anesthesiology
NPI 1790761369
759 S MAIN ST
Woodstock, VA 22664
(540) 459-1111
✔ PECOS9.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1629054036
759 SOUTH MAIN STREET
Woodstock, VA 22664
(540) 459-1111
9.7 mi
General Surgery
NPI 1942685375
759 S MAIN ST
Woodstock, VA 22664
(154) 045-9110
✔ PECOS✔ Accepts Medicare9.7 mi
Internal Medicine
NPI 1053982413
759 S MAIN ST
Woodstock, VA 22664
(540) 459-1314
✔ PECOS✔ Accepts Medicare9.7 mi
Psychiatry
NPI 1306883178
759 S MAIN ST
Woodstock, VA 22664
(540) 459-1111
✔ PECOS9.7 mi
Emergency Medicine
NPI 1679740617
759 S MAIN ST
Woodstock, VA 22664
(540) 459-1100
✔ PECOS✔ Accepts Medicare9.7 mi
Family Practice
NPI 1720582943
759 S MAIN ST
Woodstock, VA 22664
(540) 459-1383
✔ PECOS✔ Accepts Medicare9.7 mi
See all 414 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shenandoah Memorial Hospital Inc.'s NPI number?

The NPI number for Shenandoah Memorial Hospital Inc. is 1053842468. It was assigned to this organization in the NPPES registry on March 27, 2017.

Where is Shenandoah Memorial Hospital Inc. located?

Shenandoah Memorial Hospital Inc. is located at 5173 Main St, Mount Jackson, VA 22842. The listed phone number is (540) 459-1350.

What is Shenandoah Memorial Hospital Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Shenandoah Memorial Hospital Inc. enrolled in Medicare?

Yes. Shenandoah Memorial Hospital Inc. is registered in the Medicare PECOS enrollment system.

When is Shenandoah Memorial Hospital Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Shenandoah Memorial Hospital Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 414 clinicians in 31 Medicare specialties reassign their Medicare billing to Shenandoah Memorial Hospital Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (81), Diagnostic Radiology (60) and Psychiatry (51). Of these, 1 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shenandoah Memorial Hospital Inc. accept?

Health plans from CareSource list Shenandoah Memorial Hospital Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shenandoah Memorial Hospital Inc. was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.