Jacey A. Roberts, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA054722 Issued in PA

Practice address

1046 Tulip Ter
Rockingham, VA 22801-5324

Phone

(540) 421-0779

Fax

(540) 438-0023

NPI assigned

Jan 24, 2011

Sex

Female

Sole proprietor

No

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.

• Eventus WH Mid-Atlantic Care LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Midlothian, VA
  • NPI 1063253490

  VA

  Medicare reassignment Care Compare group NPD
• Eventus Premier Healthcare LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Midlothian, VA
  • NPI 1437998309

  VA

  Medicare reassignment Care Compare group
• Eventus WH Mid-Atlantic, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Midlothian, VA
  • NPI 1700627130

  VA

  Medicare reassignment NPD
• Eventus WH PLLC Care, LLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1639990658

  VA

  Medicare reassignment NPD
• Premier Geriatric Solutions PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Roanoke, VA
  • NPI 1568093672

  VA

  Medicare reassignment
• Hospitalist Medicine Physicians of Washington Tacoma PLLC

  • Internal Medicine Physician
  • Cleveland, TN
  • NPI 1740911585

  VA

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Home Health of Virginia LLC

  • Home Health Agency
  • Staunton, VA
  • NPI 1073794863
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Buena Vista, VA
  • NPI 1750141073
  Care Compare affiliation
• Sentara RMH Medical Center

  • General Acute Care Hospital
  • Harrisonburg, VA
  • NPI 1780694372

  Hospital

  Care Compare affiliation

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eventus Premier Healthcare LLC 105 clinicians

Eventus WH Mid-Atlantic Care LLC 89 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care Inc Home health agency, Lexington, VA, CCN 497814
• Amedisys Home Health Care Home health agency, Staunton, VA, CCN 497646
• Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

• Ms. Jacey A. Bennis Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 23, 2021.

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1790080653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 FAIRMOUNT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302908",
            "telephone_number": "215-599-4851",
            "fax_number": "215-232-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 TULIP TER",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228015324",
            "telephone_number": "540-421-0779",
            "fax_number": "540-438-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JACEY",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005554",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACEY",
            "last_name": "BENNIS",
            "middle_name": "A.",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Rexrode, M.S., CCC-SLP
• Kimberley A. Richards, MSN, RN, FNP-BC
• Elizabeth Dehart Richardson, PH.D.
• RMH Medical Group LLC
• RMH Medical Group LLC
• Rockingham Eye Physicians & Associates, P.C.
• Rockingham Eye Surgery Center, LLC
• Rebecca Ann Rodes, PA
• Xochithl Alonso Romero, MEDICAL INTERPRETER
• Vanessa Christine Roque, BCBA

• All providers in Rockingham, VA
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.

Verify at the official NPI Registry.