MISS JESSICA DIANE WOMACK (MPA, PA-C) – Physician Assistant, NPI 1700110582
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in VA
Provider Addresses for MISS JESSICA DIANE WOMACK (MPA, PA-C)
13700 ST FRANCIS BLVD
SUITE 103
MIDLOTHIAN, VA 231143222
Phone: (804) 379-2414
Fax: (804) 379-2413
Type: Location
1115, Boulders Parkway, Chesterfield Village, Chesterfield County, Virginia, 23225, United States
SUITE 200
NORTH CHESTERFIELD, VA 232254067
Phone: (804) 560-5595
Fax: (804) 560-9029
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: 2025-04-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20091103000661 | I | Physician Assistant | VA | TBD |
| I20250402001794 | I | Physician Assistant | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 30 | 17 | $0 |
| 72050 | X-ray of upper spine, 4-5 views | 21 | 17 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 18 | 17 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 15 | 14 | $0 |
| 72040 | X-ray of upper spine, 2-3 views | 13 | 12 | $0 |
Insurance plans in this area (ZIP 23114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | TX | |
| Physician Assistant | OK | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| N E U R O S U R G E R Y | TX | |
| N E U R O S U R G E R Y | TX | |
| - | TX | |
| N E U R O S U R G E R Y | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
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