MISS JESSICA DIANE WOMACK MPA PA-C NPI 1700110582

NPI Information

  • NPI: 1700110582
  • Provider Name: MISS JESSICA DIANE WOMACK, MPA, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13700 ST FRANCIS BLVD
    SUITE 103
    MIDLOTHIAN, VA
    ZIP 23114
  • Phone: (804) 379-2414

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NPI Details

MISS Jessica Diane Womack, MPA, PA-C is a physician assistant in Midlothian, VA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MISS Jessica Diane Womack, MPA, PA-C NPI is 1700110582. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13700 ST FRANCIS BLVD
SUITE 103
MIDLOTHIAN, VA
ZIP 23114-222
Phone: (804) 379-2414
Fax: (804) 379-2413

The NPI 1700110582 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back (HCPCS:63053)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back (HCPCS:63052)
  • Fusion of additional segment of spine with partial removal of spine bone and disc (HCPCS:22634)
  • Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc (HCPCS:22551)
  • Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
  • Placement of stabilizing device to front, 2-3 spine bone segments (HCPCS:22845)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc (HCPCS:22552)
  • Placement of stabilizing device to back of 1 spine bone in neck (HCPCS:22840)
  • Partial removal of spine bone with exploration and/or release of sacral spinal cord or nerves, 1-2 segments (HCPCS:63011)

The enumeration date for this NPI number is 9/25/2009 and was last updated on 9/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical0110003149VIRGINIANo
2363A00000XPhysician Assistant0110003149VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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