Jessica Bright Scruggs, N.P.
Individual provider Active NPI Nurse Practitioner · Covington, VA
NPI 1508235201 · NPPES record last updated Jul 29, 2016
Key facts
- NPI
- 1508235201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0024173060 (VA)
- Practice address
- 919 S Craig Ave
Suite a
Covington, VA 24426-1954 - Phone
- (540) 960-2231
- Fax
- (540) 960-2245
- NPI assigned
- Sep 23, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Advanced Mobile Wound Care of Virginia LLC
Alliance Xpress Care LLC
Practice addresses (Care Compare)
2109 India Rd
Charlottesville, VA 22901-2886
Phone (276) 685-1185
919 S Craig Ave
Suite a
Covington, VA 24426-1954
Phone (540) 960-2231
Hospital & facility affiliations
- Lewisgale Hospital Alleghany
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 |
|---|---|---|---|---|
| I20160204001071 | VA | Practitioner - Nurse Practitioner | 7618271081 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Xpress Care LLC | Nurse Practitioner | Current |
Accepting new patients |
| Lake Spring Emergency Group, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Kingsford Emergency Group, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Advanced Mobile Wound Care of Virginia LLC | Current |
Accepting new patients | |
| Wildwood Emergency Group, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Scott Wagner Integrated Medicine LLC | Past | Accepting new patients | |
| Wvva Health Care Alliance, PC | Past |
Accepting new patients |
Locations
3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111
2109 India Rd
Charlottesvle, VA 22901
Phone (276) 685-1185
919 S Craig Ave
Ste A
Covington, VA 24426
Phone (540) 960-2231
2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100
2706 Ogden Rd
Roanoke, VA 24018
Phone (540) 970-8000
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
1100 9th St
Ste E
Vienna, WV 26105
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024173060 | VA | Yes |
Addresses
Primary practice location
919 S Craig Ave
Suite a
Covington, VA 24426-1954
Mailing address
PO Box 297
200 Pocahontas Trial
White Sulphur Springs, WV 24986-0297
Phone (304) 536-5030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508235201 | Medicaid | VA |
Other providers in Covington, VA
- McKenna Elise Reed
- Riverside Health Center
- RM and Am Healthcare Services LLC
- Krishna Sankar
- Sarah J Schmitt
- Mark Steven Seckinger
- Lacey Shifflett
- Jennifer Simpson Smith
- Juliann Smith
- Laurie Smith
All providers in Covington, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2016. 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.