Active NPI
Jessica L. Pionk, PA-C
- Physician Assistant
- Lebanon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110004743
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01477858 | Other | VA | RR MEDICARE |
| 1154724607 | Medicaid | VA |
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
Enrollment records 1
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
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
- Smyth County Community Hospital
- Johnston Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | 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.
-
- Internal Medicine Physician
- Abingdon, VA
- NPI 1306944350
-
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
-
- Internal Medicine Physician
- Marion, VA
- NPI 1215395843
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
-
- General Acute Care Hospital
- Lebanon, VA
- NPI 1891973939
-
- General Acute Care Hospital
- Marion, VA
- NPI 1073519377
-
- General Acute Care Hospital
- Marion, VA
- NPI 1194104687
-
- Durable Medical Equipment & Medical Supplies
- Marion, VA
- NPI 1750433389
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.