Jessica Carolyn Burton
Individual provider Active NPI Nurse Practitioner · South Chesterfield, VA
NPI 1669012183 · NPPES record last updated Feb 4, 2020
Key facts
- NPI
- 1669012183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0024178801 (VA)
- Practice address
- 406 Walthall Ridge Dr
South Chesterfield, VA 23834-6847 - Phone
- (434) 610-1699
- NPI assigned
- Jan 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dogwood Anesthesia Providers LLC
Practice addresses (Care Compare)
411 W Randolph Rd
Hopewell, VA 23860-2938
Phone (804) 541-7413
Hospital & facility affiliations
- John Randolph Medical Center
- CJW Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200504001636 | VA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0143651307 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024178801 | VA | MD | Nurse Practitioner |
| 126017 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia, PC | Current |
Accepting new patients | |
| American Anesthesiology of Virginia PC | Current |
Accepting new patients | |
| Dogwood Anesthesia Providers, LLC | Current |
Accepting new patients |
Locations
411 W Randolph Rd
Hopewell, VA 23860
Phone (804) 452-3624
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
215 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 497-4973
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
2369 Staples Mill Rd
Ste 100
Richmond, VA 23230
Phone (804) 354-8818
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 126017 | VA | |
| Nurse Practitioner | 363L00000X | 0024178801 | VA | Yes |
Addresses
Primary practice location
406 Walthall Ridge Dr
South Chesterfield, VA 23834-6847
Mailing address
406 Walthall Ridge Dr
South Chesterfield, VA 23834-6847
Phone (434) 610-1699
Other providers in South Chesterfield, VA
- April Bennett
- Kelly Boswell
- Lakeisha Branch
- Victoria C Branch
- Morgan Brown
- C & M Enterprise, Inc.
- Cam'S Way LLC
- Joanie Carmichael
- Central Virginia Dental Care PLC
- Chafhllc
All providers in South Chesterfield, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.