Active NPI
Joerissa Gearlds, PA-C
- Physician Assistant
- MC Lean, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110011306
- Practice address
- 1775 Tysons Blvd Ste 300
MC Lean, VA 22102-4285 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- NPI assigned
- Mar 25, 2020
- 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 | IL | ||
| Physician Assistant | 363A00000X | 0110011306 | VA | Primary |
Addresses
Primary practice location
1775 Tysons Blvd Ste 300
MC Lean, VA 22102-4285
Mailing address
1701 N Menard Ave
Chicago, IL 60639-4120
Phone (773) 759-1701
Other practice location 1
5645 W Addison St Rm 353
Chicago, IL 60634-4403
Phone (773) 527-5814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110011306 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Current | Accepting new patients | |
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients | |
| Infectious Disease Solutions PA | Past | Accepting new patients |
Locations
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
5645 W Addison St
Rm 353
Chicago, IL 60634
Phone (773) 527-5814
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1881059897
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1053102269
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1962894675
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- Infectious Disease Physician
- Tamarac, FL
- NPI 1487841631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1154958544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 N MENARD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606394120",
"telephone_number": "773-759-1701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 TYSONS BLVD STE 300",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221024285",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "5645 W Addison St Rm 353",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606344403",
"country_code": "US",
"telephone_number": "773-527-5814",
"fax_number": "773-794-4686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEARLDS",
"first_name": "JOERISSA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-25",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110011306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.