Individual provider Active NPI

Jessica Lynne Goggins, APRN

  • Primary Care Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1700691292
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R217820 Issued in MD
Practice address
8218 Wisconsin Ave Ste P9
Bethesda, MD 20814-3138
Phone
(301) 656-0128
NPI assigned
Feb 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R217820 MD
Primary Care Nurse Practitioner 363LP2300X R217820 MD Primary

Addresses

Primary practice location

8218 Wisconsin Ave Ste P9
Bethesda, MD 20814-3138

Mailing address

8218 Wisconsin Ave Ste P9
Bethesda, MD 20814-3138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250512002689 MD Practitioner - Nurse Practitioner 4688191737 Reassigns benefits to 1 organization
I20250612003263 DC Practitioner - Nurse Practitioner 4688191737 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

1160 Varnum St NE
Suite 215 Squ and Llee DC
Washington, DC 20017-2106
Phone (202) 526-4600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Apr 10, 2025 Accepting new patients
Eon Care Clinicians PC Nurse Practitioner CurrentSince Mar 15, 2025 Accepting new patients
Privia Care Center LLC CurrentSince Apr 10, 2025 Accepting new patients

Locations

1160 Varnum St NE
Ste 215
Washington, DC 20017
Phone (202) 526-4600

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

8218 Wisconsin Ave
Ste P9
Bethesda, MD 20814
Phone (301) 656-0128

20451 Seneca Meadows Pkwy
Germantown, MD 20876
Phone (301) 515-2760

10110 Molecular Dr
Ste 209
Rockville, MD 20850
Phone (301) 500-0261

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • Direct secure messaging: jessicacoggins@jmf-md.direct.office.nextgen.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1700691292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8218 WISCONSIN AVE STE P9",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8218 WISCONSIN AVE STE P9",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143138",
            "telephone_number": "301-656-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGGINS",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R217820",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R217820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.