Individual provider Active NPI

Joerissa Gearlds, PA-C

  • Physician Assistant
  • MC Lean, VA
National Provider Identifier
1154958544
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110011306 Issued in VA
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

Updated by the provider on Jan 6, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200729002451 IL Practitioner - Physician Assistant 6103241880 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110011306VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County CurrentSince Nov 10, 2021 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Cook County CurrentSince Nov 10, 2021 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Apr 1, 2020 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.

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

Verify at the official NPI Registry.