NPIMap

Individual provider Active NPI

Jessica Bittermann Nuno, PA-C

  • Surgical Physician Assistant
  • McLean, VA
National Provider Identifier
1780872978
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.0006406 Issued in CO
Practice address
7601 Lewinsville Rd
MC Lean, VA 22102-2814
Phone
(703) 287-8277
Fax
(703) 287-8278
NPI assigned
Oct 12, 2007
Last updated
Dec 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110004537 VA
Surgical Physician Assistant 363AS0400X PA.0006406 CO Primary

Addresses

Primary practice location

7601 Lewinsville Rd
MC Lean, VA 22102-2814

Mailing address

7601 Lewinsville Rd
MC Lean, VA 22102-2814
Phone (703) 287-8277

Other practice location 1

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140630000500 DC Practitioner - Physician Assistant 4082702329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Center for Plastic Surgery LLCGroup PAC ID 5890984314, 13 clinicians

Practice addresses (Care Compare)

7601 Lewinsville Rd
Suite 400
McLean, VA 22102-2834
Phone (703) 287-8277

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0708NHMDPhysical Therapy Assistant
0110004537VAMDPhysician Assistant
PA.0006406COMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Surgical Assistants, LLC Surgical Past Accepting new patients
Suburban Physician Assistant Associates, LLC. Physician Assistant Past Accepting new patients
Johns Hopkins Community Physicians, Inc Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1780872978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 LEWINSVILLE RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221022814",
            "telephone_number": "703-287-8277",
            "fax_number": "703-287-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 LEWINSVILLE RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221022814",
            "telephone_number": "703-287-8277",
            "fax_number": "703-287-8278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNO",
        "first_name": "JESSICA",
        "middle_name": "BITTERMANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2022-12-16",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004537",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0006406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.