JESSICA LYNN BLAKELY (AGACNP) – Critical Care Medicine Nurse Practitioner, NPI 1538805270

JESSICA LYNN BLAKELY (AGACNP) is a healthcare provider. based in Ashburn, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP. They hold a License No. 0001273947 (VA). The NPI Number for JESSICA LYNN BLAKELY (AGACNP) is 1538805270

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA LYNN BLAKELY (AGACNP)
NPI
1538805270
Phone
(808) 457-6088
Address
43321 CHOKEBERRY SQ
Enumeration Date
6 May 2022
Last Update Date
15 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7037712960
Graduation Year
2022 (4 years ago)
PAC ID
0749652675
Group Practice PAC ID
2466351093
Professional Enrollment ID
I20230202000889
Address ID
VA201765101LE44045PKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:4State licenses:3Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for JESSICA LYNN BLAKELY (AGACNP)

  • 43321 CHOKEBERRY SQ

    ASHBURN, VA 201474498

    Phone: (808) 457-6088

    Type: Mailing

  • 3300 GALLOWS RD

    FALLS CHURCH, VA 220423307

    Phone: (703) 776-3582

    Type: Location

  • 6440 RED BLUFF LN

    IDAHO FALLS, ID 834065094

    Phone: (808) 457-6088

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230202000889INurse PractitionerVATBD
I20230208000603INurse PractitionerDCTBD
I20250227002125INurse PractitionerGUTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes7361$0
99292Critical care, each additional 30 minutes4428$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2927$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)1616$0
36620Insertion of artery tube for blood sampling or infusion through skin1312$0
View full utilization report →

Insurance plans in this area (ZIP 20147)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466351093View full group profile

Reviews

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Frequently asked questions

Can I cross-check JESSICA LYNN BLAKELY (AGACNP) using NPI 1538805270?
NPI 1538805270 belongs to JESSICA LYNN BLAKELY (AGACNP); compare other details if you need extra assurance.
Would JESSICA LYNN BLAKELY (AGACNP) appear as active to a payer?
You can treat JESSICA LYNN BLAKELY (AGACNP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JESSICA LYNN BLAKELY (AGACNP)?
JESSICA LYNN BLAKELY (AGACNP)'s specialty line reads Critical Care Medicine Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JESSICA LYNN BLAKELY (AGACNP) associated with Ashburn?
Public fields place JESSICA LYNN BLAKELY (AGACNP) around Ashburn, Virginia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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