MISSION FUNCTIONAL MEDICINE, PLLC
NPI 1225514136
Family Medicine in Winchester, VA

Active since July 13, 2018
230 COSTELLO DR STE 210, WINCHESTER, VA 22602(540) 247-8476(540) 869-3524 Get Directions Write a Review

NPPES record last updated: July 13, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mission Functional Medicine, Pllc NPPES

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

MISSION FUNCTIONAL MEDICINE, PLLC (NPI 1225514136) is a healthcare organization registered as a family medicine in Winchester, Virginia and active in the NPI registry since July 2018. The organization lists Shawn C Lawson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1225514136
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMISSION FUNCTIONAL MEDICINE, PLLC
Location Address230 COSTELLO DR STE 210Winchester, VA 22602-4310
Mailing Address103 Chancellorsville DrStephens City, VA 22655-4515 · (540) 247-8476
Fax(540) 869-3524
Organization SubpartNo
Authorized OfficialShawn C LawsonOffice Manager · (540) 247-8476
Enumeration DateJuly 13, 2018
✔ NPI 1225514136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0102202773
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
230 COSTELLO DR STE 210, Winchester, VA 22602

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mission Functional Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mission Functional Medicine, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1295869543
230 COSTELLO DR STE 210
Winchester, VA 22602
(540) 450-5743
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D2156295

Mission Functional Medicine PLLC · Winchester, VA
Expired · Oct 14, 2026
CLIA Number49D2156295
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorLaura N. Lawson
Laboratory Phone(540) 247-8476
Laboratory LocationMission Functional Medicine PLLC230 Costello Dr Suite 210, Winchester, VA 22602
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Mission Functional Medicine, PLLC's NPI number?

The NPI number for Mission Functional Medicine, PLLC is 1225514136. It was assigned to this organization in the NPPES registry on July 13, 2018.

Where is Mission Functional Medicine, PLLC located?

Mission Functional Medicine, PLLC is located at 230 Costello Dr Ste 210, Winchester, VA 22602. The listed phone number is (540) 247-8476.

What is Mission Functional Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mission Functional Medicine, PLLC enrolled in Medicare?

Yes. Mission Functional Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mission Functional Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Mission Functional Medicine, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mission Functional Medicine, PLLC was last updated on July 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.