Individual provider Active NPI

Jasmine Denia Reid, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1639669120
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018812 Issued in PA
Practice address
6501 Harbison Ave
Philadelphia, PA 19149-2912
Phone
(215) 333-4300
NPI assigned
May 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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 SP0000X PA
Family Nurse Practitioner 363LF0000X SP018812 PA Primary

Addresses

Primary practice location

6501 Harbison Ave
Philadelphia, PA 19149-2912

Mailing address

6501 Harbison Ave
Philadelphia, PA 19149-2912
Phone (215) 333-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, VA, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190702001177 DE Practitioner - Nurse Practitioner 9638427206
I20241029004453 VA Practitioner - Nurse Practitioner 9638427206 Reassigns benefits to 1 organization
I20241210002076 DC Practitioner - Nurse Practitioner 9638427206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physical Medicine Associates LTDGroup PAC ID 4981688835, 73 clinicians

Practice addresses (Care Compare)

14605 Potomac Branch Dr
Suite 100
Woodbridge, VA 22191-3337
Phone (703) 738-4371

6355 Walker LN
Suite 507
Alexandria, VA 22310-3251
Phone (703) 971-4604

Hospital & facility affiliations

  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP0000XPAMDFamily Nurse Practitioner
SP018812PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Associates, LTD CurrentSince Aug 16, 2024 Accepting new patients
Physical Medicine Associates, LTD CurrentSince Aug 16, 2024 Accepting new patients
Physical Medicine Associates LTD Past Accepting new patients

Locations

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

6355 Walker Ln
Ste 507
Alexandria, VA 22310
Phone (703) 738-4332

5213 Hickory Park Dr
Ste B
Glen Allen, VA 23059
Phone (804) 270-7262

14605 Potomac Branch Dr
Ste 100
Woodbridge, VA 22191
Phone (703) 738-4371

Interoperability endpoints

  • Direct secure messaging: jreid@spineandpain.emadirect.md

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1639669120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 HARBISON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492912",
            "telephone_number": "215-333-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 HARBISON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492912",
            "telephone_number": "215-333-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JASMINE",
        "middle_name": "DENIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP0000X",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.