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JONATHAN ANTHONY SHOMO PA
NPI 1689822652
Physician Assistant - Medical in Bridgewater, VA

Active since September 03, 2008Opted out of Medicare · through Apr 1, 2027
110A N MAIN ST, BRIDGEWATER, VA 22812(540) 515-4325(540) 210-1271 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2021, Feb 29, 2016, Feb 19, 2016 (3 updates tracked since 2016).

About Jonathan Anthony Shomo Pa NPPES

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

JONATHAN ANTHONY SHOMO PA (NPI 1689822652) is an individual medical provider in Bridgewater, Virginia, licensed in Virginia (0110002842) and active in the NPI registry since September 2008. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689822652
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJONATHAN ANTHONY SHOMOCredential: PA
Location Address110A N MAIN STBridgewater, VA 22812-1301
Mailing Address110a N Main StBridgewater, VA 22812-1301 · (540) 515-4325 · Fax (540) 210-1271
Phone(540) 515-4325
Fax(540) 210-1271
Sole ProprietorYes
Enumeration DateSeptember 3, 2008
Last NPPES UpdateAugust 19, 20213 updates tracked since enumeration
NPPES CertifiedAugust 19, 2021
✔ NPI 1689822652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · 0110002842
110A N MAIN ST, Bridgewater, VA 22812
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Other Identifiers 1

Medicaid1689822652VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jonathan Anthony Shomo Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2021 through April 1, 2027.

Opt-Out Effective DateApril 1, 2021
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Jonathan Shomo's NPI number?

The NPI number for Jonathan Shomo is 1689822652. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is Jonathan Shomo located?

Jonathan Shomo practices at 110A N Main St, Bridgewater, VA 22812. The listed phone number is (540) 515-4325.

What is Jonathan Shomo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jonathan Shomo enrolled in Medicare?

No. Jonathan Shomo has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jonathan Shomo was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.