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JILL T DEFIBAUGH NP
NPI 1225018914
Nurse Practitioner in Winchester, VA

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
2913 VALLEY AVE, SUITE 200, WINCHESTER, VA 22601(540) 678-0792(540) 678-0795 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jill T Defibaugh Np NPPES

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

JILL T DEFIBAUGH NP (NPI 1225018914) is an individual nurse practitioner in Winchester, Virginia, licensed in Virginia (0024166690) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1225018914
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJILL T DEFIBAUGHCredential: NP
Location Address2913 VALLEY AVE, SUITE 200Winchester, VA 22601-2676
Mailing Address2913 Valley Ave, Suite 200Winchester, VA 22601-2676 · (540) 678-0792 · Fax (540) 678-0795
Phone(540) 678-0792
Fax(540) 678-0795
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 19, 2006
Last NPPES UpdateJuly 29, 2010
✔ NPI 1225018914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VA · 0024166690
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2913 VALLEY AVE, Winchester, VA 22601
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Other Identifiers 6

Other001788730VA · Mountain State Bcbs
Medicaid3810003821WV
Other289215VA · Anthem Bcbs
Medicaid010211417VA
Medicare UPINQ57909VA
Medicare PIN009172W35VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jill T Defibaugh Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294756169
PECOS Enrollment IDI20051207001038
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
450 services135 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
413 services198 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
360 services132 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
50 services24 patients
Ferritin (blood protein) level 82728
A Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.
29 services23 patients
Lactate dehydrogenase (enzyme) level 83615
A Lactate Dehydrogenase level test measures the amount of this enzyme in your body. It's often done when tissue damage is suspected, as high levels can indicate issues like heart disease, lung disease, liver disease, or blood disorders. This test helps in diagnosing and monitoring these conditions.
19 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491305
Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County
Emergency services

Valley Health War Memorial Hospital

Critical Access Hospitals · Berkeley Springs, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511309
Location1 Healthy WayBerkeley Springs, WV 25411 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers13 claims42 services$6.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. VICTORIA PULLEN GREELEY RN
Registered Nurse
2913 VALLEY AVE
WINCHESTER, VA 22601
Winchester City (540) 536-5200
APPLE BLOSSOM FAMILY PRACTICE PLLC
Family Medicine
2913 VALLEY AVE, SUITE 200
WINCHESTER, VA 22601
Winchester City (540) 678-0792
BRENDA LEE GANT
Registered Nurse (Home Health)
2913 VALLEY AVE
WINCHESTER, VA 22601
Winchester City (540) 247-7801
AMY L OWENS-RATCLIFFE RN
Registered Nurse
2913 VALLEY AVE
WINCHESTER, VA 22601
Winchester City (540) 536-5200
TRACY HOLSINGER RN
Registered Nurse
2913 VALLEY AVE
WINCHESTER, VA 22601
Winchester City (540) 536-5200
MRS. ROBIN SANDY CATHER PNP
Nurse Practitioner (Pediatrics)
2913 VALLEY AVE, SUITE 200
WINCHESTER, VA 22601
Winchester City (540) 678-0792
CATHY WOELFEL LPN
Licensed Practical Nurse
2913 VALLEY AVE
WINCHESTER, VA 22601
Winchester City (540) 536-5200
MARY KATHERYN BUFFINGTON RN
Nurse Practitioner (Family)
2913 VALLEY AVE
WINCHESTER, VA 22601
Winchester City (540) 536-5200

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 Jill Defibaugh's NPI number?

The NPI number for Jill Defibaugh is 1225018914. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Jill Defibaugh located?

Jill Defibaugh practices at 2913 Valley Ave Suite 200, Winchester, VA 22601. The listed phone number is (540) 678-0792.

What is Jill Defibaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jill Defibaugh enrolled in Medicare?

Yes. Jill Defibaugh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jill Defibaugh accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Jill Defibaugh 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.

Is Jill Defibaugh affiliated with any hospitals?

According to CMS data, Jill Defibaugh is affiliated with Winchester Medical Center, Warren Memorial Hospital, Shenandoah Memorial Hospital and Valley Health War Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jill Defibaugh was last updated on July 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.