NPIMap

Individual provider Active NPI

Jennifer Lynn Ross, M.D.

  • Internal Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1013946334
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101263981 Issued in VA
Practice address
4510 Plank Rd Ste 200
Fredericksburg, VA 22407-0138
Phone
(540) 870-6550
Fax
(540) 870-6552
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME71514 FL
Internal Medicine Physician 207R00000X 0101263981 VA Primary

Addresses

Primary practice location

4510 Plank Rd Ste 200
Fredericksburg, VA 22407-0138

Mailing address

4510 Plank Rd Ste 200
Fredericksburg, VA 22407-0138
Phone (540) 870-6550

Other practice location 1

12006 Kilarney Dr
Fredericksburg, VA 22407-7207
Phone (540) 786-9771

Other names 1

  • Jennifer Lynn George Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180326002862 VA Practitioner - Internal Medicine 8820229545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Johns Hopkins University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chancellor Primary Care PLLCGroup PAC ID 7012323397, 2 clinicians

Practice addresses (Care Compare)

4510 Plank Rd
Suite 200
Fredericksburg, VA 22407-0138
Phone (540) 870-6550

Hospital & facility affiliations

  • At Home Care Home health agency, Mechanicsvlle, VA, CCN 497493
  • Mary Washington Home Health Agency Home health agency, Fredericksburg, VA, CCN 497272
  • James River Home Health Care LLC Home health agency, Fredericksburg, VA, CCN 497795
  • Amedisys Home Health Home health agency, Midlothian, VA, CCN 497538
  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME71514FLMDInternal Medicine Physician
0101263981VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chancellor Primary Care PLLC Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients

Locations

4510 Plank Rd
Ste 200
Fredericksburg, VA 22407
Phone (540) 785-9900

Interoperability endpoints

  • Direct secure messaging: jenniferross@cimva.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1013946334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 PLANK RD STE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070138",
            "telephone_number": "540-870-6550",
            "fax_number": "540-870-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 PLANK RD STE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070138",
            "telephone_number": "540-870-6550",
            "fax_number": "540-870-6552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12006 Kilarney Dr",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224077207",
            "country_code": "US",
            "telephone_number": "540-786-9771",
            "fax_number": "540-548-8803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71514",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101263981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GEORGE",
            "middle_name": "LYNN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.