Active NPI
Jessica Utech, RPA-C
- Physician Assistant
- Annandale, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 019764
- Practice address
- 4208 Evergreen LN Ste 213
Annandale, VA 22003-3254 - Phone
- (703) 642-7522
- NPI assigned
- Jun 28, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 019764 | NY | Primary |
Addresses
Primary practice location
4208 Evergreen LN Ste 213
Annandale, VA 22003-3254
Mailing address
4208 Evergreen LN Ste 213
Annandale, VA 22003-3254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2810 Old Lee Hwy
Suite 305
Fairfax, VA 22031-4376
Phone (703) 642-7522
7655 Leesburg Pike
Falls Church, VA 22043-2595
Phone (703) 642-7522
9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800
950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Dent Neuologic Institute | Past | Accepting new patients | |
| Academic Medicine Services, Inc. | Past | Accepting new patients |
Locations
19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
4208 Evergreen Ln
Ste 213
Annandale, VA 22003
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
- Freedom Health HMO Network
Interoperability endpoints
- jessica.utech.1@8042.direct.athenahealth.com
- jessica.utech.1@14654.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/IHBEAA
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
-
- Obstetrics & Gynecology Physician
- Hawthorne, CA
- NPI 1760756860
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
-
- Internal Medicine Physician
- Williamsville, NY
- NPI 1255394763
-
- Infusion Therapy Clinic/Center
- Amherst, NY
- NPI 1801946488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1558712802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4208 EVERGREEN LN STE 213",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4208 EVERGREEN LN STE 213",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033254",
"telephone_number": "703-642-7522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTECH",
"first_name": "JESSICA",
"name_prefix": "Ms.",
"credential": "RPA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "019764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.