Individual provider Active NPI

Jessica Patrice Squiabro Pierce, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Mechanicsville, VA
National Provider Identifier
1578102257
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024184897 Issued in VA
Practice address
9351 Atlee Rd
Mechanicsville, VA 23116-2540
Phone
(804) 569-8240
NPI assigned
Dec 30, 2019
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11005518 FL
Family Nurse Practitioner 363LF0000X 0024184897 VA Primary

Addresses

Primary practice location

9351 Atlee Rd
Mechanicsville, VA 23116-2540

Mailing address

9351 Atlee Rd
Mechanicsville, VA 23116-2540

Other practice location 1

14163 Midlothian Tpke
Midlothian, VA 23113-6523
Phone (804) 893-8702

Other names 1

  • Jessica Patrice Pierce Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220920000307 VA Practitioner - Nurse Practitioner 4385075324 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Urgent Care LLCGroup PAC ID 6709256142, 125 clinicians

Practice addresses (Care Compare)

10 N Nansemond St
Richmond, VA 23221-2768
Phone (804) 877-8327

14163 Midlothian Tpke
Midlothian, VA 23113-6523
Phone (804) 893-8702

14426 Hull St Rd
Chesterfield, VA 23832-2525
Phone (804) 887-8322

4835 S Laburnum Ave
Richmond, VA 23231-2713
Phone (804) 877-8324

9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11005518FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little Clinic of VA LLC Family CurrentSince Aug 6, 2022 Accepting new patients
Bon Secours Urgent Care LLC CurrentSince Sep 9, 2024 Accepting new patients
Southeastern Intensivist Services PC CurrentSince Jan 1, 2026 Accepting new patients

Locations

9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702

9351 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 417-1595

14163 Midlothian Tpke
Midlothian, VA 23113
Phone (804) 893-8702

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

7000 Tim Price Way
North Chesterfield, VA 23225
Phone (804) 772-8541

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

Interoperability endpoints

  • Direct secure messaging: jpierce2677409@direct.bsmhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1578102257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9351 ATLEE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 ATLEE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162540",
            "telephone_number": "804-569-8240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14163 Midlothian Tpke",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231136523",
            "country_code": "US",
            "telephone_number": "804-893-8702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SQUIABRO PIERCE",
        "first_name": "JESSICA",
        "middle_name": "PATRICE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005518",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PIERCE",
            "middle_name": "PATRICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.