Jennifer Brooke Fortune, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110002564 Issued in VA

Practice address

1340 N Great Neck Rd
Suite 1272 PMB 390
Virginia Beach, VA 23454-2268

Phone

(757) 481-5858

Fax

(757) 481-6265

NPI assigned

Aug 8, 2007

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

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

Physician Assistant

Education

Eastern Virginia Medical School, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Savida Health PCGroup PAC ID 4082809967, 89 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

35.98 of 100Reported as group

Quality

0

Promoting interoperability

0

Improvement activities

20

Cost

78.28

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.fortune.1@24804.direct.athenahealth.com

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.

• Savida Health, PC

  • Addiction Medicine (Internal Medicine) Physician
  • Woodbridge, VA
  • NPI 1548739170
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1033300538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 N GREAT NECK RD",
            "address_2": "SUITE 1272 PMB 390",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542268",
            "telephone_number": "757-481-5858",
            "fax_number": "757-481-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 N GREAT NECK RD",
            "address_2": "SUITE 1272 PMB 390",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542268",
            "telephone_number": "757-481-5858",
            "fax_number": "757-481-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "JENNIFER",
        "middle_name": "BROOKE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Forti, WHNP
• Joseph A Forti, RPH
• Angelina Marie Fortin, LPTA, ATC
• Sara Catherine Fortin, M.S.
• Megan Fortner
• Courtney Fosque, MSW
• Adriana Foss
• Andra Schmidt Foster, D.C.
• Brandon Lee Foster, LCSW
• Charlene Foster, CPHT

• Physician Assistant in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.