Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jacqueline Bourassa Mundus, PA-C

Individual provider Physician Assistant · NPI 1679972749

Mrs. Jacqueline Bourassa Mundus, PA-C is a Physician Assistant in Washington, District of Columbia. Qualified in 2014, 12 years ago. Practices with Skindc PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
12
Licensed in
MD, VA
In the registry since
2014
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

50 Irving St NW Dermatology Dept - Vamc
Washington, DC 20422-0001
Phone: (202) 745-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110004669 (VA)
Physician Assistant Taxonomy 363A00000X · Licence C0005468 (MD)

Record details

NPI number1679972749
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 14, 2014
Last updated in NPPESApril 8, 2021
Certification dateApril 8, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Skindc Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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