Individual provider Active NPI

Jessica Elaine Moore-Scheeler, PA-C

  • Medical Physician Assistant
  • Boulder, CO
National Provider Identifier
1770613838
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9103710 Issued in FL
Practice address
4743 Arapahoe Ave
Suite 102
Boulder, CO 80303-1123
Phone
(303) 449-3642
Fax
(303) 440-7299
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9103710 FL Primary

Addresses

Primary practice location

4743 Arapahoe Ave
Suite 102
Boulder, CO 80303-1123

Mailing address

4743 Arapahoe Ave
Suite 102
Boulder, CO 80303-1123
Phone (303) 449-3642

Other identifiers 1

IdentifierTypeStateIssuer
1972561439MedicaidVA

Other names 1

  • Jessica Elaine Moore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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
I20080923000676 VA Practitioner - Physician Assistant 9032203807 Reassigns benefits to 6 organizations
I20240926000450 DC Practitioner - Physician Assistant 9032203807 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Enterprise IncGroup PAC ID 9931268091, 176 clinicians
Valley Regional Enterprises, IncGroup PAC ID 0446164495, 53 clinicians
Tru Health Group PCGroup PAC ID 6406216183, 29 clinicians

Practice addresses (Care Compare)

1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Phone (540) 636-0300

160 Merchant St
Suite 200
Winchester, VA 22603-4772
Phone (540) 536-5950

1830 Amherst St
Winchester, VA 22601-2808
Phone (540) 667-1828

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

1860 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

1880 Amherst St
Winchester, VA 22601-2808

531 E Market St
Suite D
Leesburg, VA 20176-4116
Phone (301) 428-1070

607 E Jubal Early Dr
Winchester, VA 22601-5178
Phone (540) 536-2232

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9103710FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Regional Enterprises, Inc CurrentSince Feb 17, 2025 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Nov 26, 2024 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Nov 26, 2024 Accepting new patients
Winchester Medical Center CurrentSince Nov 26, 2024 Accepting new patients
Winchester Medical Center CurrentSince Nov 26, 2024 Accepting new patients
Valley Physician Enterprise, Inc Past Accepting new patients
Charlotte Cardiovacular Institute, PA Past Accepting new patients
Cardiac & Thoracic Surgical Associates, LTD Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

607 E Jubal Early Dr
Winchester, VA 22601
Phone (540) 536-2232

1880 Amherst St
Ste 200
Winchester, VA 22601
Phone (540) 662-0306

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

220 Campus Blvd
Ste 320
Winchester, VA 22601

Interoperability endpoints

  • Direct secure messaging: jessica.moore-scheeler.1@20907.direct.athenahealth.com
  • Direct secure messaging: jmoorescheeler793840@valleyhealth.direct-ci.com

Organizations & group practices 12

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 6

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1770613838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4743 ARAPAHOE AVE",
            "address_2": "SUITE 102",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031123",
            "telephone_number": "303-449-3642",
            "fax_number": "303-440-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4743 ARAPAHOE AVE",
            "address_2": "SUITE 102",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031123",
            "telephone_number": "303-449-3642",
            "fax_number": "303-440-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-SCHEELER",
        "first_name": "JESSICA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972561439",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MOORE",
            "middle_name": "ELAINE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.