Individual provider Active NPI

Jessica Anne Mason, M.D.

  • Internal Medicine Physician
  • Suffolk, VA
National Provider Identifier
1184940488
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101256178 Issued in VA
Practice address
7185 Harbour Towne Pkwy S Ste 206
Suffolk, VA 23435-3796
Phone
(757) 484-5828
Fax
(757) 484-4371
NPI assigned
Apr 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101256178 VA
Internal Medicine Physician 207R00000X 0101256178 VA Primary

Addresses

Primary practice location

7185 Harbour Towne Pkwy S Ste 206
Suffolk, VA 23435-3796

Mailing address

7185 Harbour Towne Pkwy S Ste 206
Suffolk, VA 23435-3796
Phone (757) 484-5828

Other identifiers 1

IdentifierTypeStateIssuer
1184940488MedicaidVA

Other names 1

  • Jessica Anne Bowers Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150113001484 VA Practitioner - Internal MedicinePractitioner - Family Practice 0941524367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours Medical Group Hampton Roads Primary Care LLCGroup PAC ID 0941632756, 62 clinicians

Practice addresses (Care Compare)

3537 Airline Blvd
Suite 1
Portsmouth, VA 23701-2650
Phone (757) 738-1225

7185 Harbour Towne Pkwy S
Suite 206
Suffolk, VA 23435-3896
Phone (757) 484-5828

Hospital & facility affiliations

  • Amedisys Home Health of Newport News Home health agency, Hampton, VA, CCN 497091
  • Bon Secours Home Care Home health agency, Suffolk, VA, CCN 497245
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017
  • Bon Secours Harbour View Medical Center Hospital, Suffolk, VA, CCN 490148
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Mary Immaculate Hospital Hospital, Newport News, VA, CCN 490041
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101256178VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Hampton Roads Primary Care LLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients

Locations

155 Kingsley Ln
Ste 150
Norfolk, VA 23505
Phone (757) 278-2350

3537 Airline Blvd
Ste 1
Portsmouth, VA 23701
Phone (757) 738-1225

7185 Harbour Towne Pkwy S
Ste 206
Suffolk, VA 23435
Phone (757) 484-5828

Organizations & group practices 1

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184940488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7185 HARBOUR TOWNE PKWY S STE 206",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353796",
            "telephone_number": "757-484-5828",
            "fax_number": "757-484-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7185 HARBOUR TOWNE PKWY S STE 206",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353796",
            "telephone_number": "757-484-5828",
            "fax_number": "757-484-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101256178",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101256178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184940488",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BOWERS",
            "middle_name": "ANNE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.