NPIMap

Individual provider Active NPI

Jennifer Tyree Adkins, PA

  • Medical Physician Assistant
  • Roanoke, VA
National Provider Identifier
1962581322
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110002231 Issued in VA
Practice address
3707 Brambleton Ave
#2
Roanoke, VA 24018-3658
Phone
(540) 725-7800
Fax
(540) 989-6752
NPI assigned
Nov 4, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 19

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 2

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

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carilion Healthcare Corporation (540 clinicians)

Practice addresses (Care Compare)

3707 Brambleton Ave SW
2 Carilion Family Medicine Brambleton
Roanoke, VA 24018-3658
Phone (540) 725-7800

6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110

Hospital & facility affiliations

  • Carilion Medical Center Hospital · Roanoke, VA · CCN 490024
  • Carilion Franklin Memorial Hospital Hospital · Rocky Mount, VA · CCN 490089

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060202000340 VA Practitioner - Physician Assistant 7719991439 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110002231VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center Current
since Jun 20, 2021		 Accepting new patients
Carilion Giles Community Hospital Current
since Jun 20, 2021		 Accepting new patients
Carilion Healthcare Corporation Current
since Apr 30, 2007		 Accepting new patients
Carilion Medical Center Current
since Jun 20, 2021		 Accepting new patients
Carilion Rockbridge Community Hospital Current
since Jun 20, 2021		 Accepting new patients
Carilion Giles Community Hospital Current
since Jun 20, 2021		 Accepting new patients
Carilion Healthcare Corporation Current
since Apr 30, 2007		 Accepting new patients
Carilion Emergency Services, Inc. Current
since Jun 20, 2021		 Accepting new patients
Apple Blossom Family Practice PLLC Past
since Mar 1, 2003		 Accepting new patients
Family Foot and Ankle Care, PC Past
since Mar 15, 2005		 Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

434 Peppers Fry Rd NW
Christiansburg, VA 24073
Phone (540) 382-6000

2900 Lamb Cir
Ste 310
Christiansburg, VA 24073

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

213 S Jefferson St
Ste 416
Roanoke, VA 24011
Phone (540) 224-5679

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

3707 Brambleton Ave
Ste 2
Roanoke, VA 24018
Phone (540) 725-7800

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

3707 Brambleton Ave
Roanoke, VA 24018
Phone (540) 725-7800

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

Interoperability endpoints

  • Direct secure messaging: jadkins12776@direct.carilionclinic.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110002231 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

3707 Brambleton Ave
#2
Roanoke, VA 24018-3658

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5715

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1962581322MedicaidVA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2022.

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1962581322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5715",
            "fax_number": "540-224-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 BRAMBLETON AVE",
            "address_2": "#2",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183658",
            "telephone_number": "540-725-7800",
            "fax_number": "540-989-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADKINS",
        "first_name": "JENNIFER",
        "middle_name": "TYREE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110002231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962581322",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.