Individual provider Active NPI

Jessica Szelc Simmelink, MD

  • Pediatrics Physician
  • Richmond, VA
National Provider Identifier
1376074104
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101269217 Issued in VA
Practice address
9606 Patterson Ave
Richmond, VA 23229
Phone
(804) 740-6171
Fax
(804) 741-3105
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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
Pediatrics Physician 208000000X 0101269217 VA Primary

Addresses

Primary practice location

9606 Patterson Ave
Richmond, VA 23229

Mailing address

9606 Patterson Ave
Richmond, VA 23229
Phone (804) 740-6171

Other names 1

  • Jessica Faye Szelc Former name

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
I20170802002309 VA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2365713815

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101269217VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Partners of Virginia, LLC Pediatrics Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1376074104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9606 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23229",
            "telephone_number": "804-740-6171",
            "fax_number": "804-741-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9606 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23229",
            "telephone_number": "804-740-6171",
            "fax_number": "804-741-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMELINK",
        "first_name": "JESSICA",
        "middle_name": "SZELC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2025-08-12",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101269217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SZELC",
            "middle_name": "FAYE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.