PENNY L ATCHLEY (PA-C) – Physician Assistant, NPI 1023563038

PENNY L ATCHLEY (PA-C) is a healthcare provider. based in Woodbridge, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110-005478 (VA). The NPI Number for PENNY L ATCHLEY (PA-C) is 1023563038

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
PENNY L ATCHLEY (PA-C)
NPI
1023563038
Phone
(703) 523-1000
Address
2300 OPITZ BLVD
Enumeration Date
19 August 2016
Last Update Date
19 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2086342225
Graduation Year
2014 (12 years ago)
PAC ID
9638459746
Group Practice PAC ID
7618127994
Professional Enrollment ID
I20230628002144
Address ID
ID836385256MC211XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

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Provider Addresses for PENNY L ATCHLEY (PA-C)

  • Sentara Northern Virginia Medical Center, 2300, Opitz Boulevard, Woodbridge, Prince William County, Virginia, 22191, United States

    WOODBRIDGE, VA 221913311

    Phone: (703) 523-1000

    Type: Mailing

  • 2300 Opitz Blvd

    Woodbridge, VA 221913311

    Phone: (703) 523-1000

    Type: Location

  • 190 E BANNOCK ST

    BOISE, ID 837126241

    Phone:

    Type: Mailing

  • 200 FOREST ST

    MCCALL, ID 836385256

    Phone: (208) 634-2225

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230628002144IPhysician AssistantIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3635$0
99214Established patient office or other outpatient visit, 30-39 minutes2927$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 22191)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618127994View full group profile

Reviews

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Frequently asked questions

Can I cross-check PENNY L ATCHLEY (PA-C) using NPI 1023563038?
NPI 1023563038 belongs to PENNY L ATCHLEY (PA-C); compare other details if you need extra assurance.
Active or inactive — what applies to PENNY L ATCHLEY (PA-C)?
You should see PENNY L ATCHLEY (PA-C) as active in CMS-hosted NPPES data.
What kind of doctor is PENNY L ATCHLEY (PA-C)?
PENNY L ATCHLEY (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for PENNY L ATCHLEY (PA-C)?
Travel planning: use Woodbridge, Virginia as the reference point for PENNY L ATCHLEY (PA-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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