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MRS. ROBERTA G MCCAULEY NP
NPI 1245310952
Nurse Practitioner in Winchester, VA

Active since October 17, 2006PECOS Enrolled
160 MERCHANT ST # 200, WINCHESTER, VA 22603(540) 536-5950(540) 536-5955 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2021, Aug 24, 2021 (2 updates tracked since 2021).

About Mrs. Roberta G Mccauley Np NPPES

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

MRS. ROBERTA G MCCAULEY NP (NPI 1245310952) is an individual nurse practitioner in Winchester, Virginia, licensed in Virginia (0024170803) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1245310952
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. ROBERTA G MCCAULEYCredential: NP
Location Address160 MERCHANT ST # 200Winchester, VA 22603-4772
Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2896 · (154) 053-6510 · Fax (304) 725-7204
Phone(540) 536-5950
Fax(540) 536-5955
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateSeptember 9, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2021
✔ NPI 1245310952 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 · 0024170803
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.
160 MERCHANT ST # 200, Winchester, VA 22603
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1415A South StFront Royal, VA 22630-2115 · Phone (540) 656-0495 · Fax (540) 636-0450
Location 265 Riverton Commons DrFront Royal, VA 22630-6768 · Phone (540) 635-0700 · Fax (540) 635-8174
Location 3607 E Jubal Early DrWinchester, VA 22601-5178 · Phone (540) 536-2232 · Fax (540) 536-2206
Location 433820 Old Valley Pike Ste 2Strasburg, VA 22657-3793 · Phone (540) 459-1310 · Fax (540) 459-1311

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Roberta G Mccauley Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Roberta Mccauley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Regional Enterprises, Inc
4.3 mi
Urgent Care
607 E JUBAL EARLY DR
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 77 clinicians in this Medicare group
NPI 1235178591 (540) 536-2221
Privia Medical Group, LLC
60 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, Virginia enrollment
  • 1,315 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22603 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%873 patients4/55-star benchmark: 99%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

SCARLETT VICTORIA ROY PA-C
Physician Assistant
160 MERCHANT ST # 200
WINCHESTER, VA 22603
Frederick County (540) 536-5950
KARA CORRELL CNP
Nurse Practitioner (Family)
160 MERCHANT ST # 200
WINCHESTER, VA 22603
Frederick County (540) 536-5950
MADELEINE TEMPLETON PA
Physician Assistant
160 MERCHANT ST # 200
WINCHESTER, VA 22603
Frederick County (540) 536-5950

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 Roberta Mccauley's NPI number?

The NPI number for Roberta Mccauley is 1245310952. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Roberta Mccauley located?

Roberta Mccauley practices at 160 Merchant St # 200, Winchester, VA 22603. The listed phone number is (540) 536-5950.

What is Roberta Mccauley's specialty?

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

Is Roberta Mccauley enrolled in Medicare?

Yes. Roberta Mccauley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Roberta Mccauley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberta Mccauley reassigns Medicare benefits to 2 organizations: Valley Regional Enterprises, Inc (Winchester, VA) and Privia Medical Group, LLC (Arlington, VA). Each 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 Roberta Mccauley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roberta Mccauley was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.