Active NPI
Victoria Anna Jennings, PA-C
- Physician Assistant
- Roanoke, VA
National Provider Identifier
1275280653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 10 Church Ave SW Apt 502
Roanoke, VA 24011-2027 - Phone
- (804) 972-0503
- NPI assigned
- Mar 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | VA | Primary |
Addresses
Primary practice location
10 Church Ave SW Apt 502
Roanoke, VA 24011-2027
Mailing address
10 Church Ave SW Apt 502
Roanoke, VA 24011-2027
Phone (804) 972-0503
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Electric Rd
Salem, VA 24153-7474
Phone (561) 997-0821
Hospital & facility affiliations
- Lewisgale Medical Center
- Lewisgale Hospital Alleghany
- Lewisgale Hospital Pulaski
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- victoria.jennings@hca6.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Trauma Surgery Physician
- Fredericksburg, VA
- NPI 1528765690
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Low Moor, VA
- NPI 1285932962
-
- General Acute Care Hospital
- Low Moor, VA
- NPI 1538100029
-
- General Acute Care Hospital
- Salem, VA
- NPI 1619914785
-
- General Acute Care Hospital
- Pulaski, VA
- NPI 1205882396
-
- Psychiatric Hospital Unit
- Pulaski, VA
- NPI 1477018893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1275280653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CHURCH AVE SW APT 502",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240112027",
"telephone_number": "804-972-0503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CHURCH AVE SW APT 502",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240112027",
"telephone_number": "804-972-0503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "VICTORIA",
"middle_name": "ANNA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-07",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.