SHENANDOAH PAIN AND PALLIATIVE CARE CLINIC, LLC
NPI 1659919017
Nurse Practitioner in Broadway, VA
About Shenandoah Pain And Palliative Care Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHENANDOAH PAIN AND PALLIATIVE CARE CLINIC, LLC (NPI 1659919017) is a healthcare organization registered as a nurse practitioner in Broadway, Virginia and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Tabitha Garrison, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shenandoah Pain And Palliative Care Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Shenandoah Pain And Palliative Care Clinic, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 of Waiver 49D2219049
Shenandoah Pain & Palliative Care Clinic, LLC · Broadway, VAFrequently 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 Pain And Palliative Care Clinic, LLC's NPI number?
The NPI number for Shenandoah Pain And Palliative Care Clinic, LLC is 1659919017. It was assigned to this organization in the NPPES registry on December 17, 2019.
Where is Shenandoah Pain And Palliative Care Clinic, LLC located?
Shenandoah Pain And Palliative Care Clinic, LLC is located at 173 E Springbrook Rd, Broadway, VA 22815. The listed phone number is (540) 901-7028.
What is Shenandoah Pain And Palliative Care Clinic, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Shenandoah Pain And Palliative Care Clinic, LLC enrolled in Medicare?
Yes. Shenandoah Pain And Palliative Care Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shenandoah Pain And Palliative Care Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Shenandoah Pain And Palliative Care Clinic, LLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Shenandoah Pain And Palliative Care Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2219049) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Shenandoah Pain And Palliative Care Clinic, LLC was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Shenandoah Pain And Palliative Care Clinic, Llc · NPI 1659919017
Nurse Practitioner organization in Broadway, Virginia. Organization record, active in the CMS NPPES registry since December 17, 2019.
## Identity
- **NPI:** 1659919017 (Entity type: Organization)
- **Enumerated:** December 17, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Tabitha Garrison, OWNER
## Practice location
- **Address:** 173 E SPRINGBROOK RD, Broadway, VA 22815-9526
- **Phone:** (540) 901-7028 · **Fax:** (540) 901-2599
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1659919017) · Data from the CMS NPPES public registry.