Individual provider Active NPI

Jessica Jean Dearman, PA

  • Medical Physician Assistant
  • Charleston, WV
National Provider Identifier
1144595026
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
01615 Issued in WV
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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.27 of 100Reported as group
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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1615WVMDOccupational Therapist
01615WVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
WV Asthma and Allergy Centers, Inc. CurrentSince Mar 5, 2016 Accepting new patients
Chesapeake Medical Center, PLLC CurrentSince Nov 10, 2024 Accepting new patients
Neurology & Pain Center PLLC PastSince Sep 1, 2003 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)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 01615 WV Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.