Jennifer Jasmine Bautista-Gogel, PA-C
Individual provider Active NPI Physician Assistant · Alexandria, VA
NPI 1376829903 · NPPES record last updated Dec 2, 2025
Key facts
- NPI
- 1376829903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 6020 Richmond Hwy
Alexandria, VA 22303-2157 - Phone
- (571) 308-6776
- NPI assigned
- Oct 27, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Medical University of South Carolina College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Patient First Maryland Medical Group PLLC
Practice addresses (Care Compare)
2855 Crain Hwy
Waldorf, MD 20601-2807
Phone (240) 427-1926
8206 Georgia Ave
Silver Spring, MD 20910-4519
Phone (301) 960-4682
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251203002870 | DC | Practitioner - Physician Assistant | 7315277209 | Reassigns benefits to 1 organization |
| I20251203003446 | MD | Practitioner - Physician Assistant | 7315277209 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patient First Maryland Medical Group, PLLC | Current |
Accepting new patients | |
| Patient First Maryland Medical Group PLLC | Current |
Accepting new patients | |
| Patient First Maryland Medical Group PLLC | Current |
Accepting new patients | |
| United States Navy | Past | Accepting new patients |
Locations
10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776
726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411
8206 Georgia Ave
Silver Spring, MD 20910
Phone (301) 960-4682
2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
6020 Richmond Hwy
Alexandria, VA 22303-2157
Mailing address
10006 Marshall Pond Rd
Burke, VA 22015-3709
Phone (917) 703-4201
Other practice location 1
2005 Knight Lane Bldg H
Navy Medicine Support Command
Jacksonville, FL 32212-0140
Phone (904) 542-7200
Other practice location 2
2855 Crain Hwy
Waldorf, MD 20601-2807
Phone (240) 427-1926
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MDExchange@patientfirst.com | Health Information Exchange (HIE) |
Other providers in Alexandria, VA
- Melanie Ann Bauer
- Rachel Bauer
- Ronald S Bauer
- Christal Nicole Baugh
- Marjorie B Bauman
- Edith Quiachon Bautista-Quint
- Jasmine Sofia Bautista
- Kwame Bawuah-Edusei
- Alexia Baxter
- Bay Medical Care LLC
All providers in Alexandria, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.