Individual provider Active NPI

Katie Jane Gerarge, PA-C

  • Medical Physician Assistant
  • Portsmouth, VA
National Provider Identifier
1962682534
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110002095 Issued in VA
Practice address
3315 High St
Portsmouth, VA 23707-3319
Phone
(757) 399-0759
Fax
(757) 397-8951
NPI assigned
Nov 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 0110002095 VA Primary

Addresses

Primary practice location

3315 High St
Portsmouth, VA 23707-3319

Mailing address

3315 High St
Portsmouth, VA 23707-3319
Phone (757) 399-0759

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110211000134 VA Practitioner - Physician Assistant 1254511058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gershon Pain Specialists LLCGroup PAC ID 7618075821, 7 clinicians

Practice addresses (Care Compare)

1133 1St Colonial Rd
Virginia Beach, VA 23454-2402
Phone (757) 496-2050

Hospital & facility affiliations

  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gershon Pain Specialists, LLC CurrentSince Feb 13, 2023 Accepting new patients

Locations

1133 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 496-2050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1684/brand/1/csg/1/fhir/r4
  • Direct secure messaging: katie.gerarge.1@1684.direct.athenahealth.com

Organizations & group practices 2

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 8

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": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962682534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073319",
            "telephone_number": "757-399-0759",
            "fax_number": "757-397-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073319",
            "telephone_number": "757-399-0759",
            "fax_number": "757-397-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARGE",
        "first_name": "KATIE",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110002095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.