Active NPI
Jessica Jean Dearman, PA
- Medical Physician Assistant
- Charleston, WV
National Provider Identifier
1144595026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 01615
- Practice address
- 400 S Ruffner Rd
Charleston, WV 25314-1542 - Phone
- (304) 720-9595
- NPI assigned
- Mar 12, 2012
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Charleston, WV
- NPI 1477630952
-
- Allergy & Immunology Physician
- Charleston, WV
- NPI 1114005477
-
- Neurology Physician
- South Charleston, WV
- NPI 1497944136
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.27 of 100
- Quality
- 68.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.7
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120404000207 | WV | Practitioner - Physician Assistant | 3476713181 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1615 | WV | MD | Occupational Therapist |
| 01615 | WV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WV Asthma and Allergy Centers, Inc. | Current | Accepting new patients | |
| Chesapeake Medical Center, PLLC | Current | Accepting new patients | |
| Neurology & Pain Center PLLC | Past | Accepting new patients |
Locations
208 Maccorkle Ave SE
Charleston, WV 25314
Phone (304) 343-4300
400 S Ruffner Rd
Charleston, WV 25314
Phone (304) 388-8350
310 35th St SE
Ste 11
Charleston, WV 25304
Phone (304) 720-9595
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 01615 | WV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
400 S Ruffner Rd
Charleston, WV 25314-1542
Mailing address
PO Box 5275
Vienna, WV 26105-5275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2024.
{
"created_epoch": "1331510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1144595026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5275",
"city": "VIENNA",
"state": "WV",
"postal_code": "261055275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S RUFFNER RD",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253141542",
"telephone_number": "304-720-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEARMAN",
"first_name": "JESSICA",
"middle_name": "JEAN",
"name_prefix": "Miss",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-12",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WV",
"license": "01615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.