Individual provider Active NPI

Jessica Suppa Ware, PA-C

  • Medical Physician Assistant
  • Arlington, VA
National Provider Identifier
1003921008
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110001441 Issued in VA
Practice address
2445 Army Navy Dr Ste 400
Arlington, VA 22206-2988
Phone
(703) 379-8879
Fax
(703) 998-6821
NPI assigned
Aug 20, 2006
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110001441 VA Primary

Addresses

Primary practice location

2445 Army Navy Dr Ste 400
Arlington, VA 22206-2988

Mailing address

2445 Army Navy Dr Ste 400
Arlington, VA 22206-2988
Phone (703) 379-8879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20090729000143 DC Practitioner - Physician Assistant 0244383982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
George Washington University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Virginia Family Practice AssociatesGroup PAC ID 6800872433, 11 clinicians

Practice addresses (Care Compare)

2311 M St NW
Suite 301
Washington, DC 20037-1468
Phone (202) 861-0111

2445 Army Navy Dr
Suite 400
Arlington, VA 22206-2988
Phone (703) 379-8879

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110001441VAMDMedical Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1003921008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 ARMY NAVY DR STE 400",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062988",
            "telephone_number": "703-379-8879",
            "fax_number": "703-998-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 ARMY NAVY DR STE 400",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062988",
            "telephone_number": "703-379-8879",
            "fax_number": "703-998-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "JESSICA",
        "middle_name": "SUPPA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110001441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.