Jennifer Marie Rickerby, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024177705 Issued in VA

Practice address

9430 Forestwood LN Ste 100
Manassas, VA 20110-4754

Phone

(703) 365-0227

NPI assigned

Jun 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in VA, DC2 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jrickerby517104@direct.healthsystem.virginia.edu
• Direct secure messaging: bloomhealthcenters.jenniferrickerby@131200.advancedmd-direct.com
• Direct secure messaging: jennifer.rickerby.1@29379.direct.athenahealth.com

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.

• Psych Associates of Maryland LLC

  dba Bloom Health Centers

  • Psychologist
  • Timonium, MD
  • NPI 1891721981

  DC, VA

  Medicare reassignment Care Compare group NPD
• Uva Community Health Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Charlottesville, VA
  • NPI 1598475741
  Medicare reassignment NPD
• Uva Community Health Medical Group, LLC

  dba UVA Health Pediatrics Manassas

  • Pediatrics Physician
  • Manassas, VA
  • NPI 1164990941
  NPD
• Neta, Inc.

  • Child & Adolescent Psychiatry Physician
  • Arlington, VA
  • NPI 1134506520
  NPD (past)

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1295395002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748613",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 FORESTWOOD LN STE 100",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104754",
            "telephone_number": "703-365-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKERBY",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024177705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Manassas",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9430 Forestwood Ln Ste 100",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201104754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrickerby517104@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "address_1": "9430 Forestwood Ln Ste 100",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201104754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dana Clark Rice, MD
• Deborah Arnetta Rich, M.D.
• Abbi Richardson, PA-C
• Khalil Richardson
• Richmond Medical Group
• Nancy M Rickey, LCSW
• Emily Michelle Rieve, LCSW
• Reginald A Rigaud, QMHP
• Stephanie Rigaud
• Right at Home Care LLC

• Nurse Practitioner in Manassas, VA
• Providers in Manassas, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.