JESSICA KIPPER FNP-BC
NPI 1053243766
Nurse Practitioner - Family in Newport News, VA

Q: What is Jessica Kipper's NPI number?

The NPI number for Jessica Kipper is 1053243766. It was assigned to this individual provider in the NPPES registry on May 29, 2026.

Q: What is Jessica Kipper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Kipper was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 29, 2026PECOS Enrolled

11838 ROCK LANDING DR STE 140, NEWPORT NEWS, VA 23606(757) 234-8770(757) 232-8861 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jessica Kipper Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA KIPPER FNP-BC (NPI 1053243766) is an individual family provider in Newport News, Virginia, licensed in Virginia (00241) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053243766

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA KIPPERCredential: FNP-BC

Location Address11838 ROCK LANDING DR STE 140Newport News, VA 23606-4267

Mailing Address860 Omni Blvd Ste 401Newport News, VA 23606-4430 · (757) 232-8860 · Fax (757) 232-8875

Phone(757) 234-8770

Fax(757) 232-8861

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 29, 2026

NPPES CertifiedMay 29, 2026

✔ NPI 1053243766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 00241

11838 ROCK LANDING DR STE 140, Newport News, VA 23606

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Kipper Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163989997

PECOS Enrollment IDI20260811003732

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Kipper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tidewater Physicians Multispecialty Group PC

0.4 mi

Family Medicine

860 OMNI BLVD STE 401
Newport News, VA 23606

Reassigned Medicare billing, Virginia enrollment
351 clinicians in this Medicare group

NPI 1902848294 (757) 232-8764

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANIL PATEL MD

Internal Medicine (Pulmonary Disease)