Individual provider Active NPI

Johanna A. Claasen, P.A.

  • Medical Physician Assistant
  • Charlottesville, VA
National Provider Identifier
1538468517
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110003520 Issued in VA
Practice address
1410 Rolkin CT
Suite 101
Charlottesville, VA 22911-3587
Phone
(434) 293-9149
Fax
(434) 293-9140
NPI assigned
Mar 16, 2011
Last updated
Aug 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110003520 VA Primary

Addresses

Primary practice location

1410 Rolkin CT
Suite 101
Charlottesville, VA 22911-3587

Mailing address

1410 Rolkin CT
Ste 101
Charlottesville, VA 22911-3587
Phone (434) 654-7794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX2 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
I20110426000349 VA Practitioner - Physician Assistant 0345425963 Reassigns benefits to 1 organization
I20180307000725 TX Practitioner - Physician Assistant 0345425963 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110003520VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group PastSince Nov 1, 2017 Accepting new patients
First Med, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1538468517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 ROLKIN CT",
            "address_2": "STE 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113587",
            "telephone_number": "434-654-7794",
            "fax_number": "434-654-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 ROLKIN CT",
            "address_2": "SUITE 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113587",
            "telephone_number": "434-293-9149",
            "fax_number": "434-293-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAASEN",
        "first_name": "JOHANNA",
        "middle_name": "A.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.