Individual provider Active NPI

Stacey Jesser

  • Diagnostic Radiology Physician
  • Charlottesville, VA
National Provider Identifier
1326454166
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101272481 Issued in VA
Practice address
1215 Lee St
Charlottesville, VA 22908-3548
Phone
(434) 924-9400
Fax
(434) 982-1618
NPI assigned
Jul 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NM
Diagnostic Radiology Physician 2085R0202X 0101272481 VA Primary

Addresses

Primary practice location

1215 Lee St
Charlottesville, VA 22908-3548

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sjesser486250@direct.healthsystem.virginia.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NM, KS, MO, OR5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20210706000277 VA Practitioner - Diagnostic Radiology 3971897505 Reassigns benefits to 2 organizations
I20220809003166 NM Practitioner - Diagnostic Radiology 3971897505 Reassigns benefits to 1 organization
I20240712000202 KS Practitioner - Diagnostic Radiology 3971897505 Reassigns benefits to 1 organization
I20240725004386 MO Practitioner - Diagnostic Radiology 3971897505 Reassigns benefits to 1 organization
I20250826004474 OR Practitioner - Diagnostic Radiology 3971897505 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Oregon Health Sciences University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Clinic PCGroup PAC ID 7517954514, 96 clinicians
Santiam Memorial HospitalGroup PAC ID 6103729751, shared by 8 NPIs, 128 clinicians
Advanced Radiology Consultants of Kansas City PAGroup PAC ID 0042645947, 28 clinicians
Salem Radiology Consultants PCGroup PAC ID 0446148498, 33 clinicians

Practice addresses (Care Compare)

1165 Union St NE
Suite 200
Salem, OR 97301-4693
Phone (503) 399-2424

1401 N 10TH Ave
Stayton, OR 97383-1311
Phone (503) 769-2175

191 Iowa Blvd
Trenton, MO 64683-8343
Phone (913) 393-9729

2020 Capitol St NE
Salem, OR 97301-0644
Phone (503) 399-2424

2531 Boone Rd SE
Salem, OR 97306-9675
Phone (503) 399-2424

2799 N Washington St
Chillicothe, MO 64601-2902
Phone (913) 393-9729

2925 Ryan Dr SE
Salem, OR 97301-9687
Phone (503) 399-1262

5830 NW Barry Rd
Kansas City, MO 64154-2778
Phone (913) 393-9729

600 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5493
Phone (913) 393-9729

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.62 of 100Reported as group
Quality
81.9
Improvement activities
40
Cost
98.59

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as group
Quality
78.92
Promoting interoperability
99
Improvement activities
40
Cost
71.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Imaging, LLC Diagnostic Radiology Current Accepting new patients
Overland Park Surgical Specialties LLC CurrentSince Aug 15, 2024 Accepting new patients
University of Virginia Physicians Group CurrentSince Jun 28, 2021 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Jun 15, 2021 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Jun 15, 2021 Accepting new patients
Salem Radiology Consultants PC Diagnostic Radiology CurrentSince Aug 11, 2025 Accepting new patients
Salem Clinic, PC CurrentSince Nov 1, 2025 Accepting new patients
Zia Diagnostic Imaging Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Advanced Radiology Consultants of Kansas City, PA Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Salem Imaging LLC Diagnostic Radiology Past Accepting new patients
Blue Ridge Radiologists Inc. Diagnostic Radiology PastSince Jun 28, 2021 Accepting new patients

Locations

7246 W 75th St
Overland Park, KS 66204
Phone (913) 222-8370

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

2020 Capitol St NE
Salem, OR 97301
Phone (503) 399-2470

2925 Ryan Dr SE
Salem, OR 97301
Phone (503) 399-1262

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

415 Ray C Hunt Dr
#1100
Charlottesville, VA 22903
Phone (434) 243-8189

1215 Lee St
Fl 1
Charlottesville, VA 22908
Phone (434) 924-9400

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

545 Ray C Hunt Dr
Ste 140
Charlottesvle, VA 22903
Phone (434) 243-9198

Interoperability endpoints

  • Direct secure messaging: sjesser706905@ahs.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1326454166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229083548",
            "telephone_number": "434-924-9400",
            "fax_number": "434-982-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSER",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101272481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjesser486250@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1215 Lee St",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229083548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.