Individual provider Active NPI

Jessica Chen, PA-C

  • Physician Assistant
  • Sparks, NV
National Provider Identifier
1528658291
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2413 Issued in NV
Practice address
5265 Vista Blvd BLDG B
Sparks, NV 89436-0836
Phone
(775) 352-5300
Fax
(775) 352-5334
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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 PA2413 NV Primary

Addresses

Primary practice location

5265 Vista Blvd BLDG B
Sparks, NV 89436-0836

Mailing address

5265 Vista Blvd BLDG B
Sparks, NV 89436-0836
Phone (775) 352-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210401001178 NV Practitioner - Physician Assistant 5092122325 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Marys Medical Group IncGroup PAC ID 7618113523, 52 clinicians
Saint Marys Urgent Care LLCGroup PAC ID 2163658550, 11 clinicians
Nevada Urgent Care Network LLCGroup PAC ID 0941611636, 15 clinicians

Practice addresses (Care Compare)

18653 Wedge Pkwy
Suite 110
Reno, NV 89511-3007
Phone (775) 770-3327

18653 Wedge Pkwy
Suite 300
Reno, NV 89511-3038
Phone (775) 770-7210

5265 Vista Blvd
BLDG B
Sparks, NV 89436-0836
Phone (775) 355-5010

5575 Kietzke LN
Reno, NV 89511-2290
Phone (775) 502-1400

6255 Sharlands Ave
Reno, NV 89523-2882
Phone (775) 770-7580

Hospital & facility affiliations

  • Saint Mary'S Regional Medical Center Hospital, Reno, NV, CCN 290009
  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Mary'S Medical Group Inc CurrentSince Mar 1, 2021 Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

8040 S Virginia St
Ste 4
Reno, NV 89511
Phone (775) 770-7480

6255 Sharlands Ave
Reno, NV 89523
Phone (775) 245-6117

645 N Arlington Ave
Ste 555
Reno, NV 89503
Phone (775) 770-7348

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

Interoperability endpoints

  • Direct secure messaging: jessica.chen.p1@direct.smmg.nextgenshare.com

Organizations & group practices 4

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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1528658291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5265 VISTA BLVD BLDG B",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894360836",
            "telephone_number": "775-352-5300",
            "fax_number": "775-352-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5265 VISTA BLVD BLDG B",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894360836",
            "telephone_number": "775-352-5300",
            "fax_number": "775-352-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.