Individual provider Active NPI

Jessicah Julinda Ray, PA

  • Physician Assistant
  • Silver Spring, MD
National Provider Identifier
1114152790
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0006768 Issued in MD
Practice address
20 University Blvd E
Silver Spring, MD 20901-2436
Phone
(888) 808-6483
NPI assigned
May 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001001742 NC
Physician Assistant 363A00000X C0006768 MD Primary

Addresses

Primary practice location

20 University Blvd E
Silver Spring, MD 20901-2436

Mailing address

100 Brewster Blvd
Camp Lejeune, NC 28547-2538
Phone (910) 450-4159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, 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
I20190508001973 MD Practitioner - Physician Assistant 8628310869 Reassigns benefits to 3 organizations
I20190510001163 DC Practitioner - Physician Assistant 8628310869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

18045 Georgia Ave
Olney, MD 20832-2237
Phone (301) 774-8026

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (855) 910-3278

201 Shorebird St
Suite B
Frederick, MD 21701-1962
Phone (240) 422-8112

3007 Tilden St NE
Suite 5N
Washington, DC 20008-3030

3007 Tilden St NW
Washington, DC 20008-3030

3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960

4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258

6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890

6410 Rockledge Dr
Bethesda, MD 20817-1844

6500 Baltimore National Pike
Catonsville, MD 21228-4200
Phone (410) 807-8067

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0006768MDMDPhysician Assistant
001001742NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Oct 31, 2020 Accepting new patients
Medstar Urgent Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 11, 2023 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

2401 Brandermill Blvd
Ste 100
Gambrills, MD 21054
Phone (410) 224-6483

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

8605 Ridgelys Choice Dr
Nottingham, MD 21236
Phone (410) 248-2310

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

20 University Blvd E
Silver Spring, MD 20901
Phone (240) 863-2720

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1114152790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472538",
            "telephone_number": "910-450-4159",
            "fax_number": "910-450-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 UNIVERSITY BLVD E",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209012436",
            "telephone_number": "888-808-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "JESSICAH",
        "middle_name": "JULINDA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001001742",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.