Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Jessica L. Ridgely, PA-C

Individual provider Physician Assistant · NPI 1063691244

MS. Jessica L. Ridgely, PA-C is a Physician Assistant in Randallstown, Maryland. Qualified in 2007, 19 years ago. Practices with Carroll Health Group LLC, a 70-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
19
Licensed in
MD
In the registry since
2007
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

5401 Old Court Rd
Randallstown, MD 21133-5103
Phone: (410) 521-2200
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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 C0003611 (MD)
Medical Physician Assistant Taxonomy 363AM0700X · Licence C0003611 (MD)

Record details

NPI number1063691244
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 24, 2007
Last updated in NPPESOctober 24, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Carroll Health Group Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Randallstown