Jessica Gregory, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024180251 Issued in VA

Practice address

1210 Progressive Dr Ste 101
Chesapeake, VA 23320-2849

Phone

(757) 991-0190

NPI assigned

Nov 28, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jessica Cardwell Former name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Procare Wellness Network IncGroup PAC ID 5294194171, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Procare Wellness Network Inc

  • Physical Medicine & Rehabilitation Physician
  • Virginia Beach, VA
  • NPI 1760174825
  Medicare reassignment Care Compare group
• Arc of Life Medical Center LLC

  • Anesthesiology Physician
  • Madison, WI
  • NPI 1073711503
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606521600000",
    "number": "1003410218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 HUNTLEY WAY APT 207",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561697",
            "telephone_number": "757-448-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 PROGRESSIVE DR STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202849",
            "telephone_number": "757-991-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-28",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CARDWELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stefanie Edwards Greer, RDN, LDN
• Carolyn Y Gregor-Glass
• Gregory Y Kim MD PC
• David Gregory, PT
• Jerissa Raquel Gregory
• Sarah Gregory, PA-C
• Jessica Dee Gregson, CRNA
• Thomas J Gregus, MD
• Angel Dominique Gresham, APRN
• Ronnie D. Grett, L.C.S.W.

• Family Nurse Practitioner in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2020; 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.

Verify at the official NPI Registry.