Individual provider Active NPI

Jennifer Ashley Wolff Dean, M.D.

  • Family Medicine Physician
  • Williamsburg, VA
National Provider Identifier
1265628093
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101242864 Issued in VA
Practice address
4374 New Town Ave
Suite 100
Williamsburg, VA 23188-2865
Phone
(757) 259-1900
Fax
(757) 259-1901
NPI assigned
Sep 14, 2007
Last updated
Sep 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101242864 VA Primary

Addresses

Primary practice location

4374 New Town Ave
Suite 100
Williamsburg, VA 23188-2865

Mailing address

4374 New Town Ave
Suite 100
Williamsburg, VA 23188-2865
Phone (757) 259-1900

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
I20080625000178 VA Practitioner - Family Practice 3678644291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors of Williamsburg PCGroup PAC ID 2466795604, 10 clinicians

Practice addresses (Care Compare)

5239 Monticello Ave
Suite Bandc
Williamsburg, VA 23188-8242
Phone (757) 279-2999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.77 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101242864VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors of Williamsburg, PC CurrentSince May 10, 2019 Accepting new patients

Locations

5239 Monticello Ave
Ste Ab
Williamsburg, VA 23188

5239 Monticello Ave
Ste B
Williamsburg, VA 23188
Phone (757) 279-2999

5239 Monticello Ave
Ste Bc
Williamsburg, VA 23188
Phone (757) 279-2999

7201 Richmond Rd
Williamsburg, VA 23188
Phone (757) 279-2999

Interoperability endpoints

  • Direct secure messaging: jdean@hrosm.gwaydirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1265628093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4374 NEW TOWN AVE",
            "address_2": "SUITE 100",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882865",
            "telephone_number": "757-259-1900",
            "fax_number": "757-259-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4374 NEW TOWN AVE",
            "address_2": "SUITE 100",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882865",
            "telephone_number": "757-259-1900",
            "fax_number": "757-259-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "JENNIFER",
        "middle_name": "ASHLEY WOLFF",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101242864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.