Jacqueline Michelle Rehan, M.S., PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA200001500 Issued in DC

Practice address

1050 Connecticut Ave NW Ste 500
Washington, DC 20036-5304

Phone

(516) 616-5500

NPI assigned

Apr 25, 2014

Last updated

Jan 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Revolution Medicine Health and Fitness PLLCGroup PAC ID 7911339890, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jacqueline.rehan.1@23388.direct.athenahealth.com

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.

• Revolution Medicine Health & Fitness PLLC

  • Family Medicine Physician
  • Washington, DC
  • NPI 1245887959
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1952721110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CONNECTICUT AVE NW STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CONNECTICUT AVE NW STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365304",
            "telephone_number": "516-616-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHAN",
        "first_name": "JACQUELINE",
        "middle_name": "MICHELLE",
        "credential": "M.S., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-25",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "PA200001500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regional Cancer Care Associates, L.L.C.
• Marlaine F Registe, ARNP
• Megan Patricia Regnell, MD
• Arme Blandina Regner
• Rehabilitation Center of Washington D C Inc (NovaCare Rehabilitation)
• Rehana Home Health & Staffing, LLC
• Philip Rehill, NP
• Afshan Rehman, MD
• Aiman Arzu Rehman, MD
• Marissa Rehman, NP

• Family Medicine Physician in Washington, DC
• Providers in Washington, DC by specialty
• Family Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.