Active NPI
Jennifer Moore Andrews, D.O.
- Pediatrics Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0102206616
- Practice address
- 1204 W Main St
Charlottesville, VA 22903-2824 - Phone
- (434) 924-0123
- Fax
- (434) 924-3300
- NPI assigned
- Mar 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OS15413 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 0102206616 | VA | Primary |
Addresses
Primary practice location
1204 W Main St
Charlottesville, VA 22903-2824
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Other practice location 1
1215 Lee St
Charlottesville, VA 22908-2824
Phone (434) 924-0000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jandrews486543@direct.healthsystem.virginia.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, OH, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210701002959 | VA | Practitioner - Pediatric Medicine | 8426459124 | Reassigns benefits to 1 organization |
| I20241106002932 | OH | Practitioner - Pediatric Medicine | 8426459124 | Reassigns benefits to 1 organization |
| I20251002003778 | NC | Practitioner - Pediatric Medicine | 8426459124 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5221 Paramount Pkwy
Suite 420
Morrisville, NC 27560-4704
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102206616 | VA | MD | Pediatrics Physician |
| OS15413 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Pediatrics | Current | Accepting new patients |
| University of North Carolina at Chapel Hill | Pediatrics | Current | Accepting new patients |
Locations
6013 Farrington Rd
Ste 301
Chapel Hill, NC 27517
Phone (984) 974-4191
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Cleveland Heights, OH 44106
1204 W Main St
Charlottesville, VA 22903
Phone (434) 924-0123
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
Interoperability endpoints
- jandrews486543@direct.healthsystem.virginia.edu
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
VA
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
OH, Pediatrics
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
NC, Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1003200221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 W MAIN ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229032824",
"telephone_number": "434-924-0123",
"fax_number": "434-924-3300"
}
],
"practiceLocations": [
{
"address_1": "1215 Lee St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229082824",
"country_code": "US",
"telephone_number": "434-924-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDREWS",
"first_name": "JENNIFER",
"middle_name": "MOORE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-25",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "OS15413",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0102206616",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jandrews486543@direct.healthsystem.virginia.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1204 W Main St",
"city": "Charlottesville",
"state": "VA",
"country_code": "US",
"postal_code": "229032824",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.