Active NPI
Jessica Lynn Biagas, PA-C
- Physician Assistant
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110003167
- Practice address
- 1625 N George Mason Dr Ste 345
Arlington, VA 22205-3690 - Phone
- (703) 522-2727
- NPI assigned
- Dec 7, 2009
- Last updated
- Apr 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110003167 | VA | Primary |
Addresses
Primary practice location
1625 N George Mason Dr Ste 345
Arlington, VA 22205-3690
Mailing address
1625 N George Mason Dr Ste 345
Arlington, VA 22205-3690
Phone (703) 522-2727
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54-0896390 | Other | VA | TRICARE PRIME |
| 299785 | Other | VA | KAISER PERMANENTE |
| 1063740876 | Other | VA | OPTIMA HEALTH |
| 1063740876 | Medicaid | VA |
Other names 1
- Jessica Lynn Ballance
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-1100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110003167 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Associates of Fredericksburg PTR | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Advanced Spine and Pain Centers, PLLC | Past | Accepting new patients | |
| Advanced Spine and Pain PLLC | Past | Accepting new patients |
Locations
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
1101 Sam Perry Blvd
Ste 121
Fredericksburg, VA 22401
Phone (540) 368-5350
101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340
Interoperability endpoints
- jbiagas67778@marywashingtonhealthcare.direct-ci.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
-
- Anatomic Pathology Physician
- Fredericksburg, VA
- NPI 1033150982
-
- Orthopaedic Surgery of the Spine Physician
- Stafford, VA
- NPI 1215266267
-
- Orthopaedic Surgery of the Spine Physician
- Stafford, VA
- NPI 1255695490
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
dba Mary Washington Cardiology
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
dba Mary Washington Home Health Agency
- Home Health Agency
- Fredericksburg, VA
- NPI 1407814163
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1063740876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 N GEORGE MASON DR STE 345",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222053690",
"telephone_number": "703-522-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 N GEORGE MASON DR STE 345",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222053690",
"telephone_number": "703-522-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIAGAS",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-07",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110003167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PRIME",
"identifier": "54-0896390",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER PERMANENTE",
"identifier": "299785",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH",
"identifier": "1063740876",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063740876",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "BALLANCE",
"middle_name": "LYNN",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.