Individual provider Active NPI

Jonathan William Spence, P.A.

  • Physician Assistant
  • Chesapeake, VA
National Provider Identifier
1487740502
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003960 Issued in VA
Practice address
705 Battlefield Blvd N
Chesapeake, VA 23320-4901
Phone
(757) 547-0688
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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 0110003960 VA Primary

Addresses

Primary practice location

705 Battlefield Blvd N
Chesapeake, VA 23320-4901

Mailing address

1 U S Coast Guard TRN Ctr
Yorktown, VA 23690-5001
Phone (757) 856-2565

Other practice location 1

1 U S Coast Guard Trn Ctr
Yorktown, VA 23690-5001
Phone (757) 856-2565

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirst.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130220000572 VA Practitioner - Physician Assistant 7315192416 Reassigns benefits to 1 organization
I20230501000068 DC Practitioner - Physician Assistant 7315192416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Richmond Medical Group PLLCGroup PAC ID 9931011434, 315 clinicians

Practice addresses (Care Compare)

1239 Cedar Rd
Chesapeake, VA 23322-7103
Phone (757) 549-9935

1605 General Booth Blvd
Virginia Beach, VA 23454-5691
Phone (757) 721-0512

2304 W Mercury Blvd
Hampton, VA 23666-3115
Phone (757) 951-1579

2425 Taylor Rd
Chesapeake, VA 23321-2201
Phone (757) 215-1800

332 Newtown Rd
Virginia Beach, VA 23462-1793
Phone (757) 473-8400

3432 Holland Rd
Virginia Beach, VA 23452-4846
Phone (757) 468-1855

601 Potomac Station Dr
Leesburg, VA 20176-1816
Phone (703) 840-1396

611 Denbigh Blvd
Newport News, VA 23608-4415
Phone (757) 283-8300

705 Battlefield Blvd N
Chesapeake, VA 23320-4901
Phone (757) 547-0688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110003960VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC CurrentSince Mar 2, 2023 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Mar 2, 2023 Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

705 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 547-0688

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

Organizations & group practices 2

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1487740502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 U S COAST GUARD TRN CTR",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236905001",
            "telephone_number": "757-856-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BATTLEFIELD BLVD N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204901",
            "telephone_number": "757-547-0688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 U S Coast Guard Trn Ctr",
            "address_purpose": "LOCATION",
            "city": "Yorktown",
            "state": "VA",
            "postal_code": "236905001",
            "country_code": "US",
            "telephone_number": "757-856-2565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "JONATHAN",
        "middle_name": "WILLIAM",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirst.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "705 Battlefield Blvd N",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233204901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.