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DANIELLE NICOLE LODGE
NPI 1699626515
Physician Assistant - Medical in Bedford, VA

Active since February 06, 2026PECOS Enrolled
582 BLUE RIDGE AVE, BEDFORD, VA 24523(540) 425-7910 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Danielle Nicole Lodge NPPES

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

DANIELLE NICOLE LODGE (NPI 1699626515) is an individual medical provider in Bedford, Virginia, licensed in Virginia (0110011717) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2025).

NPPES Registry Identity

NPI1699626515
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDANIELLE NICOLE LODGE
Location Address582 BLUE RIDGE AVEBedford, VA 24523-2604
Mailing Address205 Wellington RdSummerville, SC 29485-5146
Phone(540) 425-7910
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2025
Enumeration DateFebruary 6, 2026
NPPES CertifiedFebruary 5, 2026
✔ NPI 1699626515 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 · 0110011717
582 BLUE RIDGE AVE, Bedford, VA 24523
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danielle Nicole Lodge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345715215
PECOS Enrollment IDI20260408001618
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.

Other Providers at the Same Location NPPES 7

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

JOHNSON HEALTH CENTER
Pharmacy
582 BLUE RIDGE AVE
BEDFORD, VA 24523
Bedford County (540) 425-7910
ANDREA MI WILD-GINGELESKI
Nurse Practitioner
582 BLUE RIDGE AVE
BEDFORD, VA 24523
Bedford County (434) 455-2480
JOHNSON HEALTH CENTER
Clinic/Center (Community Health)
582 BLUE RIDGE AVE
BEDFORD, VA 24523
Bedford County (434) 929-1400
DR. THERESA ANNE POLLARD PHARM D
Pharmacist
582 BLUE RIDGE AVE
BEDFORD, VA 24523
Bedford County (540) 425-7915
CRAIG S HAYEK MD
Family Medicine
582 BLUE RIDGE AVE
BEDFORD, VA 24523
Bedford County (434) 929-1400
DR. SANDRA S RATLIFF MD
Pediatrics
582 BLUE RIDGE AVE
BEDFORD, VA 24523
Bedford County (540) 425-7910
PAUL G MALONE PA-C
Physician Assistant
582 BLUE RIDGE AVE
BEDFORD, VA 24523
Bedford County (540) 425-7910

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 Danielle Lodge's NPI number?

The NPI number for Danielle Lodge is 1699626515. It was assigned to this individual provider in the NPPES registry on February 6, 2026.

Where is Danielle Lodge located?

Danielle Lodge practices at 582 Blue Ridge Ave, Bedford, VA 24523. The listed phone number is (540) 425-7910.

What is Danielle Lodge's specialty?

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

Is Danielle Lodge enrolled in Medicare?

Yes. Danielle Lodge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Danielle Lodge was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.