Individual provider Active NPI

Jessica Ortega

  • Physician Assistant
  • Bethesda, MD
National Provider Identifier
1295352300
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C07607 Issued in MD
Practice address
10215 Fernwood Rd Ste 506
Bethesda, MD 20817-1184
Phone
(301) 530-1010
Fax
(301) 897-8597
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C07607 MD Primary

Addresses

Primary practice location

10215 Fernwood Rd Ste 506
Bethesda, MD 20817-1184

Mailing address

10215 Fernwood Rd Ste 506
Bethesda, MD 20817-1184
Phone (301) 530-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200928001703 DC Practitioner - Physician Assistant 8820417686 Reassigns benefits to 3 organizations
I20200929003536 MD Practitioner - Physician Assistant 8820417686 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bit Physical TherapyGroup PAC ID 4183160328, 138 clinicians
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

105 Ballenisle Circle
Palm Beach Gardens, FL 33418

2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3743
Phone (410) 268-8862

2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000

2003 Medical Pkwy
Annapolis, MD 21401-3081

2003 Medical Pkwy Wayson Pavillion
Advanced Internal Medicine Residenc
Annapolis, MD 21401-3081
Phone (443) 951-4286

Merit-based Incentive Payment System (MIPS)

Final score
81.45 of 100Reported as group
Quality
67.28
Promoting interoperability
98
Improvement activities
40
Cost
72.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C07607MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Oct 5, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 18, 2022 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 18, 2022 Accepting new patients
Orthopedic Physicians of Annapolis,LLC CurrentSince Sep 18, 2022 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 18, 2022 Accepting new patients
Minuteclinic LLC Physician Assistant CurrentSince Sep 11, 2020 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Oct 5, 2020 Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients

Locations

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

201 Defense Hwy
Ste 150
Annapolis, MD 21401

2000 Medical Pkwy
Ste 101
Annapolis, MD 21401
Phone (410) 295-8900

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

10215 Fernwood Rd
Ste 506
Bethesda, MD 20817
Phone (240) 482-2414

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

1630 Main St
Ste 101
Chester, MD 21619
Phone (410) 604-6560

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

8109 Ritchie Hwy
Ste 200
Pasadena, MD 21122
Phone (410) 553-3500

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

9520 Georgia Ave
Silver Spring, MD 20910
Phone (301) 585-3136

Interoperability endpoints

  • Direct secure messaging: jortega786481@direct.hopkinsmedicine.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1295352300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD STE 506",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171184",
            "telephone_number": "301-530-1010",
            "fax_number": "301-897-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD STE 506",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171184",
            "telephone_number": "301-530-1010",
            "fax_number": "301-897-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C07607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.