Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessie Shore Nielsen, PA-C

Individual provider Physician Assistant · NPI 1629717665

Jessie Shore Nielsen, PA-C is a Physician Assistant in Alexandria, Virginia. Qualified in 2022, 4 years ago. Practices with Patient First Richmond Medical Group PLLC, a 320-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in District of Columbia and Virginia.

Years since qualifying
4
Licensed in
DC, VA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6311 Richmond Hwy
Alexandria, VA 22306-6410
Phone: (703) 647-6087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 23rd St Nw, Washington, DC 20037-2342 — (202) 715-4000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110009969 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA200001493 (DC)

Record details

NPI number1629717665
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 28, 2022
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Patient First Richmond Medical Group Pllc — 320 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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