JESSICA SUPPA WARE (PA-C) – Medical Physician Assistant, NPI 1003921008
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
Provider Addresses for JESSICA SUPPA WARE (PA-C)
4401 FORD AVE STE 250
ALEXANDRIA, VA 223021467
Phone: (703) 379-8879
Fax: (703) 998-6821
Type: Mailing
2445 ARMY NAVY DR STE 400
ARLINGTON, VA 222062988
Phone: (703) 379-8879
Fax: (703) 998-6821
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 63 Open Payments records for all available years, with a total value of $1,366.
Total Amount is formed as General ($1,366) + Research ($0) + Ownership ($0) = $1,366.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Amgen Inc. ($248).
Total Amount
$1,366
General + Research + Ownership
Payments
63
Total payment records
General Amount
$1,366
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $248 |
| Novo Nordisk Inc | $220 |
| ABBVIE INC. | $219 |
| PFIZER INC. | $168 |
| Lilly USA, LLC | $127 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090729000143 | I | Physician Assistant | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22302)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pediatric Medicine | VA | |
| Family Practice | VA | |
| Internal Medicine | VA | |
| Internal Medicine | VA | |
| N E P H R O L O G Y | VA | |
| Internal Medicine, Family Practice | VA | |
| Internal Medicine | VA | |
| Family Practice | VA | |
| Family Practice | VA |
Reviews
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