Jennifer Fowler Lucas, PA-C
Individual provider Active NPI Medical Physician Assistant · Onley, VA
NPI 1104241678 · NPPES record last updated Mar 18, 2026
Key facts
- NPI
- 1104241678
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 0110004450 (VA)
- Practice address
- 20306 Badger LN
Onley, VA 23418-2001 - Phone
- (757) 414-0400
- Fax
- (757) 414-0569
- NPI assigned
- Feb 20, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eastern Shore Rural Health System Incorporated
Practice addresses (Care Compare)
20306 Badger LN
Onley, VA 23418
Phone (757) 787-7374
25228 Lankford Hwy
Onley, VA 23418
Phone (757) 787-1465
5219 Lankford Hwy
New Church, VA 23415-3332
Phone (757) 824-5676
Hospital & facility affiliations
- Riverside Shore Home Health
- Riverside Shore Memorial Hospital
- Sentara Norfolk General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140507000496 | VA | Practitioner - Physician Assistant | 2860625381 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110004450 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Shore Rural Health System Incorporated | Current |
Accepting new patients | |
| Eastern Shore Rural Health System Incorporated | Current |
Accepting new patients | |
| Eastern Shore Rural Health System Incorporated | Current | Accepting new patients |
Locations
4049 Main St
Chincoteague Island, VA 23336
Phone (757) 336-3682
5219 Lankford Hwy
New Church, VA 23415
Phone (757) 824-5676
20280 Market St
Onancock, VA 23417
Phone (757) 787-7374
25228 Lankford Hwy
Onley, VA 23418
Phone (757) 414-0500
Interoperability endpoints
- jennifer.fowler@esrhs.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110004450 | VA | Yes |
Addresses
Primary practice location
20306 Badger LN
Onley, VA 23418-2001
Mailing address
20280 Market St
Onancock, VA 23417-1331
Phone (757) 787-7374
Other practice location 1
25228 Lankford Highway
Onley, VA 23418
Phone (757) 414-0400
Other practice location 2
4049 Main St
Chincoteague, VA 23336-2406
Phone (757) 414-0400
Other practice location 3
17068 Lankford Highway
Eastville, VA 23347
Phone (757) 414-0400
Other practice location 4
5219 Lankford Hwy
New Church, VA 23415-3332
Phone (757) 414-0400
Other providers in Onley, VA
- Human Experience LLC
- Mary Louise Kuhn
- Rachel Thornton Large
- Len J Bundick, Chiropractor, P C
- Joan Lingen
- Nicole Marchand
- Nicole Briggs Marsh
- Annie Rebecca Mehfoud
- Metabolic Syndrome Insulin Infusion - Onley LLC
- Mosher Physical Therapy and Sportsmedicine Inc
All providers in Onley, VA · Medical Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.