Individual provider Active NPI

Jeanette L. Bender, PA-C

  • Physician Assistant
  • Chesapeake, VA
National Provider Identifier
1184039596
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004624 Issued in VA
Practice address
2425 Taylor Rd
Chesapeake, VA 23321-2201
Phone
(757) 215-1800
NPI assigned
Jun 24, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 25

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.

View all 25

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Richmond Medical Group PLLC 315 clinicians

Practice addresses (Care Compare)

1239 Cedar Rd
Chesapeake, VA 23322-7103
Phone (757) 549-9935

1605 General Booth Blvd
Virginia Beach, VA 23454-5691
Phone (757) 721-0512

2304 W Mercury Blvd
Hampton, VA 23666-3115
Phone (757) 951-1579

332 Newtown Rd
Virginia Beach, VA 23462-1793
Phone (757) 473-8400

3432 Holland Rd
Virginia Beach, VA 23452-4846
Phone (757) 468-1855

5486 Indian River Rd
Virginia Beach, VA 23464-5365
Phone (757) 424-2490

601 Potomac Station Dr
Leesburg, VA 20176-1816
Phone (703) 840-1396

611 Denbigh Blvd
Newport News, VA 23608-4415
Phone (757) 283-8300

705 Battlefield Blvd N
Chesapeake, VA 23320-4901
Phone (757) 547-0688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140916000044 VA Practitioner - Physician Assistant 2264651744 Reassigns benefits to 1 organization
I20140916000676 DC Practitioner - Physician Assistant 2264651744 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110004624VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC CurrentSince Jul 28, 2014 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Jul 28, 2014 Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

2425 Taylor Rd
Chesapeake, VA 23321
Phone (757) 215-1800

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

Interoperability endpoints

  • Direct secure messaging: vaexchange@patientfirstclinics.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110004624 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

2425 Taylor Rd
Chesapeake, VA 23321-2201

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirstclinics.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 11, 2021.

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1184039596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 TAYLOR RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212201",
            "telephone_number": "757-215-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "JEANETTE",
        "middle_name": "L.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "2425 Taylor Rd",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233212201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.