Individual provider Active NPI

Jessica L. Pionk, PA-C

  • Physician Assistant
  • Lebanon, VA
National Provider Identifier
1154724607
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004743 Issued in VA
Practice address
58 Carroll St Ste 2
Lebanon, VA 24266-4510
Phone
(276) 883-8086
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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 0110004743 VA Primary
Surgical Physician Assistant 363AS0400X 0110004743 VA

Addresses

Primary practice location

58 Carroll St Ste 2
Lebanon, VA 24266-4510

Mailing address

58 Carroll St Ste 2
Lebanon, VA 24266-4510
Phone (276) 883-8086

Other practice location 1

1616 N Main St Ste 100A
Marion, VA 24354-4473
Phone (276) 783-9752

Other identifiers 2

IdentifierTypeStateIssuer
P01477858OtherVARR MEDICARE
1154724607MedicaidVA

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
I20141222001594 VA Practitioner - Physician Assistant 6709109812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abingdon Physician PartnersGroup PAC ID 5991705667, 39 clinicians
Blue Ridge Medical Management CorporationGroup PAC ID 9739099441, 283 clinicians

Practice addresses (Care Compare)

1205 Snider St
B
Marion, VA 24354-4221
Phone (276) 258-1777

16000 Johnson Memorial Dr
Abingdon, VA 24211-7664

1616 N Main St
Marion, VA 24354-4473

245 Medical Park Dr
Marion, VA 24354-1100

323 Falls NWDR
Abingdon, VA 24210-8093
Phone (276) 628-2612

Hospital & facility affiliations

  • Russell County Hospital Hospital, Lebanon, VA, CCN 490002
  • Smyth County Community Hospital Hospital, Marion, VA, CCN 490038
  • Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Oct 20, 2014 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Oct 20, 2014 Accepting new patients

Locations

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

1616 N Main St
Ste 100A
Marion, VA 24354
Phone (276) 783-9752

1205 Snider St
#B
Marion, VA 24354
Phone (276) 258-1777

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.

Hospital & facility affiliations 5

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": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1154724607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 CARROLL ST STE 2",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664510",
            "telephone_number": "276-883-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CARROLL ST STE 2",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664510",
            "telephone_number": "276-883-8086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1616 N Main St Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243544473",
            "country_code": "US",
            "telephone_number": "276-783-9752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIONK",
        "first_name": "JESSICA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004743",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110004743",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01477858",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154724607",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, VA

Sources for this page

Verify at the official NPI Registry.