Active NPI
Jessica Geberth
- Family Nurse Practitioner
- Sterling, VA
National Provider Identifier
1538901210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024190623
- Practice address
- 46440 Benedict Drive, Suite 107
Sterling, VA 20164-6602 - Phone
- (703) 450-1125
- NPI assigned
- Jun 12, 2024
- Last updated
- Sep 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024190623 | VA | Primary |
Addresses
Primary practice location
46440 Benedict Drive, Suite 107
Sterling, VA 20164-6602
Mailing address
224-D Cornwall Street, NW, Suite 403
Leesburg, VA 20176-2704
Phone (703) 737-6010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538901210 | Medicaid | VA | |
| 30017942570001 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Loudoun Medical Group, PC
Practice addresses (Care Compare)
46440 Benedict Dr
Suite 107
Sterling, VA 20164-6602
Phone (703) 450-1125
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024190623 | VA | MD | Family Nurse Practitioner |
Interoperability endpoints
- jessica.geberth.1@18665.direct.athenahealth.com
- jessica.geberth@lmg1.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1538901210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224-D CORNWALL STREET, NW, SUITE 403",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201762704",
"telephone_number": "703-737-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46440 BENEDICT DRIVE, SUITE 107",
"city": "STERLING",
"state": "VA",
"postal_code": "201646602",
"telephone_number": "703-450-1125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBERTH",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-12",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024190623",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538901210",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30017942570001",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.