Active NPI
Jenna Lee Barraclough, PA-C
- Physician Assistant
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1013
- Practice address
- 1008 Tavern Rd Ste 102
Martinsburg, WV 25401-2801 - Phone
- (304) 263-5129
- Fax
- (304) 263-3726
- NPI assigned
- Oct 16, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 57130 | CA | |
| Physician Assistant | 363A00000X | 1013 | WV | Primary |
| Physician Assistant | 363A00000X | C0009982 | MD |
Addresses
Primary practice location
1008 Tavern Rd Ste 102
Martinsburg, WV 25401-2801
Mailing address
220 Campus Blvd Ste 320
Winchester, VA 22601-2889
Phone (540) 536-5100
Other practice location 1
4300 Golden Center Dr Ste C
Placerville, CA 95667-6278
Phone (530) 344-2070
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbarraclough1512294@ValleyHealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MD
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Meritus Medical Center Inc
Practice addresses (Care Compare)
1004 Fowler Way
Placerville, CA 95667-5746
Phone (530) 626-9488
1095 Marshall Way
Placerville, CA 95667-5722
11110 Medical Campus Rd
Hagerstown, MD 21742-6700
13 Western Maryland Pkwy
202 Wellspan Rehabilitation Services
Hagerstown, MD 21740-6474
Phone (301) 797-9240
17 Western Maryland Pkwy
Hagerstown, MD 21740-5471
Phone (301) 797-9240
3501 Palmer Dr
Cameron Park, CA 95682-8276
4201 Town Ctr Blvd
El Dorado Hills, CA 95762-7100
Phone (916) 905-6378
4300 Golden Ctr Dr
Placerville, CA 95667-6278
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57130 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Medical Center | Single Specialty | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Single Specialty | Current | Accepting new patients |
| Marshall Medical Center | Single Specialty | Current | Accepting new patients |
| Wellspan Medical Group | Physician Assistant | Past | Accepting new patients |
| Marshall Medical Center | Past | Accepting new patients |
Locations
3501 Palmer Dr
Ste 201
Cameron Park, CA 95682
Phone (530) 626-2611
4300 Golden Center Dr
Ste C
Placerville, CA 95667
Phone (530) 344-2070
1004 Fowler Way
Ste 4
Placerville, CA 95667
Phone (530) 626-9488
17 Western Maryland Pkwy
Ste 100
Hagerstown, MD 21740
Phone (301) 797-6389
52 Water St
Thurmont, MD 21788
Phone (301) 271-3535
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Interoperability endpoints
- jbarraclough499619@wellspan.direct-ci.com
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.
-
- Family Medicine Physician
- El Dorado Hills, CA
- NPI 1114727377
Single Specialty
-
- Family Medicine Physician
- Thurmont, MD
- NPI 1881762995
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Neurological Surgery Physician
- Hagerstown, MD
- NPI 1881279966
Single Specialty
-
- Family Medicine Physician
- Cameron Park, CA
- NPI 1871697904
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Placerville, CA
- NPI 1972503142
-
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1649812090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 CAMPUS BLVD STE 320",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012889",
"telephone_number": "540-536-5100",
"fax_number": "540-536-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 TAVERN RD STE 102",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012801",
"telephone_number": "304-263-5129",
"fax_number": "304-263-3726"
}
],
"practiceLocations": [
{
"address_1": "4300 Golden Center Dr Ste C",
"address_purpose": "LOCATION",
"city": "Placerville",
"state": "CA",
"postal_code": "956676278",
"country_code": "US",
"telephone_number": "530-344-2070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRACLOUGH",
"first_name": "JENNA",
"middle_name": "LEE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-16",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "57130",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "1013",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0009982",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbarraclough1512294@ValleyHealth.direct-ci.com",
"affiliation": "N",
"address_1": "1008 Tavern Rd Ste 102",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "254012801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.