Individual provider Active NPI

Jessica Marie Cournoyer, MSN, FNP-C

  • Family Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1033666938
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173914 Issued in VA
Practice address
1600 Crossways Blvd Ste a
Chesapeake, VA 23320-2895
Phone
(757) 282-4070
NPI assigned
Sep 8, 2016
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024173914 VA Primary
Registered Nurse 163W00000X 0001227585 VA

Addresses

Primary practice location

1600 Crossways Blvd Ste a
Chesapeake, VA 23320-2895

Mailing address

1600 Crossways Blvd Ste a
Chesapeake, VA 23320-2895
Phone (757) 282-4070

Other practice location 1

20209 Sentara Way
Suite 200
Carrollton, VA 23314-3573
Phone (757) 542-2011

Other practice location 2

3432 Holland Rd
Virginia Beach, VA 23452-4846
Phone (757) 468-1855

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirst.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161219000119 VA Practitioner - Nurse Practitioner 6608156260 Reassigns benefits to 2 organizations
I20220713000103 DC Practitioner - Nurse Practitioner 6608156260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

20209 Sentara Way
Suite 200
Carrollton, VA 23314-3573
Phone (757) 542-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001227585VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Jan 9, 2017 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince May 31, 2022 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince May 31, 2022 Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

20209 Sentara Way
Ste 200
Carrollton, VA 23314
Phone (757) 542-2000

1600 Crossways Blvd
Ste A
Chesapeake, VA 23320
Phone (757) 282-4070

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

3432 Holland Rd
Virginia Beach, VA 23452
Phone (757) 468-1855

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1033666938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CROSSWAYS BLVD STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202895",
            "telephone_number": "757-282-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CROSSWAYS BLVD STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202895",
            "telephone_number": "757-282-4070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20209 Sentara Way",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "VA",
            "postal_code": "233143573",
            "country_code": "US",
            "telephone_number": "757-542-2011",
            "fax_number": "757-542-2049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3432 Holland Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234524846",
            "country_code": "US",
            "telephone_number": "757-468-1855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURNOYER",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173914",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001227585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirst.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3432 Holland Rd",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234524846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.