Individual provider Active NPI

Jessica Broadbent Delk, NP

  • Pediatric Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1043464936
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024167917 Issued in VA
Practice address
1000 E Broad St
Richmond, VA 23219-1930
Phone
(804) 828-2207
Fax
(804) 828-8300
NPI assigned
Nov 5, 2008
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024167917 VA Primary

Addresses

Primary practice location

1000 E Broad St
Richmond, VA 23219-1930

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844

Other practice location 1

11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 828-2207

Other practice location 2

1501 Maple Ave
Suite 200
Richmond, VA 23226-2553
Phone (804) 285-2300

Other practice location 3

1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-2207

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130708000653 VA Practitioner - Nurse Practitioner 8426298811 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Urgent Care LLC CurrentSince Oct 1, 2025 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Nov 8, 2021 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Nov 8, 2021 Accepting new patients
MCV Associated Physicians PastSince Sep 28, 2021 Accepting new patients

Locations

9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702

3400 Haydenpark Ln
Ste 100
Henrico, VA 23233

1501 Maple Ave
Ste 101A
Richmond, VA 23226
Phone 80428523001191

1501 Maple Ave
Ste 200
Richmond, VA 23226
Phone 8042852300 ext. 1627

1501 Maple Ave
Ste 200MOB
Richmond, VA 23226

1501 Maple Ave
Ste 303
Richmond, VA 23226
Phone 8042852300199

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Interoperability endpoints

  • Direct secure messaging: jdelk1150593@direct.bsmhealth.org
  • Direct secure messaging: jessicadelk@toa.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1043464936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780125",
            "telephone_number": "804-922-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232191930",
            "telephone_number": "804-828-2207",
            "fax_number": "804-828-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11958 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232331007",
            "country_code": "US",
            "telephone_number": "804-828-2207",
            "fax_number": "804-828-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Maple Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232262553",
            "country_code": "US",
            "telephone_number": "804-285-2300",
            "fax_number": "804-285-8420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-828-2207",
            "fax_number": "804-828-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELK",
        "first_name": "JESSICA",
        "middle_name": "BROADBENT",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024167917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.