Individual provider Active NPI

Jennifer Fowler Lucas, PA-C

  • Medical Physician Assistant
  • Onley, VA
National Provider Identifier
1104241678
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110004450 Issued in VA
Practice address
20306 Badger LN
Onley, VA 23418-2001
Phone
(757) 414-0400
Fax
(757) 414-0569
NPI assigned
Feb 20, 2014
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110004450 VA Primary

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

4049 Main St
Chincoteague, VA 23336-2406
Phone (757) 414-0400

Other practice location 2

25228 Lankford Highway
Onley, VA 23418
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

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
I20140507000496 VA Practitioner - Physician Assistant 2860625381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Rural Health System Incorporated CurrentSince Mar 3, 2014 Accepting new patients
Eastern Shore Rural Health System Incorporated CurrentSince Mar 3, 2014 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

  • Direct secure messaging: jennifer.fowler@esrhs.eclinicaldirectplus.com

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 4

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": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1104241678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 MARKET ST",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "234171331",
            "telephone_number": "757-787-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20306 BADGER LN",
            "city": "ONLEY",
            "state": "VA",
            "postal_code": "234182001",
            "telephone_number": "757-414-0400",
            "fax_number": "757-414-0569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4049 Main St",
            "address_purpose": "LOCATION",
            "city": "Chincoteague",
            "state": "VA",
            "postal_code": "233362406",
            "country_code": "US",
            "telephone_number": "757-414-0400",
            "fax_number": "757-414-0569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25228 Lankford Highway",
            "address_purpose": "LOCATION",
            "city": "Onley",
            "state": "VA",
            "postal_code": "23418",
            "country_code": "US",
            "telephone_number": "757-414-0400",
            "fax_number": "757-414-0569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17068 Lankford Highway",
            "address_purpose": "LOCATION",
            "city": "Eastville",
            "state": "VA",
            "postal_code": "23347",
            "country_code": "US",
            "telephone_number": "757-414-0400",
            "fax_number": "757-414-0569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5219 Lankford Hwy",
            "address_purpose": "LOCATION",
            "city": "New Church",
            "state": "VA",
            "postal_code": "234153332",
            "country_code": "US",
            "telephone_number": "757-414-0400",
            "fax_number": "757-414-0569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "JENNIFER",
        "middle_name": "FOWLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110004450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onley, VA

Sources for this page

Verify at the official NPI Registry.