Jessica Erin Weiner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110006977 Issued in VA

Practice address

850 Southampton Ave # 3
Norfolk, VA 23510-1021

Phone

(757) 668-9920

Fax

(757) 668-9930

NPI assigned

Nov 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Childrens Specialty Group PLLCGroup PAC ID 5890788764, 89 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Childrens Specialty Group PLLC

  • Pediatrics Physician
  • Norfolk, VA
  • NPI 1255354130
  Medicare reassignment Care Compare group
• Childrens Hospital of the Kings Daughters Inc

  • Urgent Care Clinic/Center
  • Chesapeake, VA
  • NPI 1578954590
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1053742668
  NPD (past)
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Clay, WV
  • NPI 1073562641
  NPD (past)
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Shinnston, WV
  • NPI 1548609092
  NPD (past)

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1245636836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 SOUTHAMPTON AVE # 3",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101021",
            "telephone_number": "757-668-9920",
            "fax_number": "757-668-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SOUTHAMPTON AVE # 3",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101021",
            "telephone_number": "757-668-9920",
            "fax_number": "757-668-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "JESSICA",
        "middle_name": "ERIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006977",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12249",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA LICENSE #",
            "identifier": "0110006977",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV LICENSE #",
            "identifier": "01852",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Joel Weeks, CRNA
• Mark Wehrlin, PSYD CLINICAL PSYCHO
• Ruth Weiglein, L.P.C.
• John Michael Weil, O.D.
• Nichole Weiler, LCSW
• Lee T Weinstein, D.D.S
• Leonard J Weireter, MD
• Edward Joseph Weisberg, DDS
• Catherine Louise Weiss, NP
• Jordana Weiss, LCGC

• Physician Assistant in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.