Individual provider Active NPI

Jordan Elizabeth Pacilla, NP-C

  • Family Nurse Practitioner
  • Stephens City, VA
National Provider Identifier
1225676174
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178494 Issued in VA
Practice address
160 Warrior Dr
Stephens City, VA 22655-4044
Phone
(540) 868-4100
Fax
(540) 868-0888
NPI assigned
Dec 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024178494 VA Primary

Addresses

Primary practice location

160 Warrior Dr
Stephens City, VA 22655-4044

Mailing address

160 Warrior Dr
Stephens City, VA 22655-4044
Phone (540) 868-4100

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200122000630 VA Practitioner - Nurse Practitioner 0648605634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stephens City Family Medicine LLCGroup PAC ID 9638125842, 6 clinicians

Practice addresses (Care Compare)

160 Warrior Dr
Stephens City, VA 22655-4044
Phone (540) 868-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as group
Quality
100
Improvement activities
40
Cost
84.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024178494VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens City Family Medicine LLC Family Medicine CurrentSince Jan 1, 2020 Accepting new patients

Locations

160 Warrior Dr
Stephens City, VA 22655
Phone (540) 508-4539

Interoperability endpoints

  • Direct secure messaging: jordanpacilla@stephenscityfm.medentdirect.com

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1225676174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WARRIOR DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226554044",
            "telephone_number": "540-868-4100",
            "fax_number": "540-868-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WARRIOR DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226554044",
            "telephone_number": "540-868-4100",
            "fax_number": "540-868-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACILLA",
        "first_name": "JORDAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephens City, VA

Sources for this page

Verify at the official NPI Registry.