JENNY M PRUITT PA
NPI 1528249133
Physician Assistant - Medical in Lebanon, VA

Q: What is Jenny Pruitt's NPI number?

The NPI number for Jenny Pruitt is 1528249133. It was assigned to this individual provider in the NPPES registry on November 26, 2007.

Q: What is Jenny Pruitt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jenny Pruitt was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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 November 26, 2007PECOS Enrolled

58 CARROLL ST, ROOM 2037, LEBANON, VA 24266(276) 883-8062(276) 883-8064 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jenny M Pruitt Pa NPPES

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

JENNY M PRUITT PA (NPI 1528249133) is an individual medical provider in Lebanon, Virginia, licensed in Virginia (0110002659) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Russell County Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1528249133

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJENNY M PRUITTCredential: PA

Location Address58 CARROLL ST, ROOM 2037Lebanon, VA 24266

Mailing Address58 Carroll St, Room 2037Lebanon, VA 24266 · (276) 883-8062 · Fax (276) 883-8064

Phone(276) 883-8062

Fax(276) 883-8064

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateNovember 26, 2007

Last NPPES UpdateFebruary 23, 2017

✔ NPI 1528249133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in VA · 0110002659

58 CARROLL ST, Lebanon, VA 24266

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Other Identifiers 3

Medicaid1528249133VA

MedicaidQ013872TN

Medicare PINVV1380AVA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenny M Pruitt Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173606365

PECOS Enrollment IDI20080211000842

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

72 services62 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

19 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Russell County Hospital

Acute Care Hospitals · Lebanon, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490002

Location58 Carroll StreetLebanon, VA 24266 · Russell County

Emergency services

Smyth County Community Hospital

Acute Care Hospitals · Marion, VA

OwnershipVoluntary non-profit - Private

CMS Certification Number490038

Location245 Medical Park DriveMarion, VA 24354 · Smyth County

Emergency services

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490053

Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 11

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

BLUE RIDGE MEDICAL MANAGMENT CORPORATION

Internal Medicine

58 CARROLL ST, ROOM 2037
LEBANON, VA 24266

Russell County (276) 883-8062

MOUNTAIN STATES HEALTH ALLIANCE

Radiology (Diagnostic Radiology)

58 CARROLL ST
LEBANON, VA 24266

Russell County (276) 883-8101

MRS. JACQUELIN LONDON GREENE FNP-C

Nurse Practitioner (Family)

58 CARROLL ST
LEBANON, VA 24266

Russell County (276) 883-8086

SASHA MUSICK FNP-C

Nurse Practitioner (Family)

58 CARROLL ST, ROOM 2037
LEBANON, VA 24266

Russell County (276) 883-8062

MOUNTAIN STATES HEALTH ALLIANCE

Psychiatric Unit

58 CARROLL ST
LEBANON, VA 24266

Russell County (276) 883-8000

DR. DAVID M MITCHELL MD PHD

Internal Medicine

58 CARROLL ST, ROOM 2037
LEBANON, VA 24266

Russell County (276) 883-8062

AMANDA HANSEN F.N.P.-C

Nurse Practitioner (Family)

58 CARROLL ST, ROOM 2037
LEBANON, VA 24266

Russell County (276) 883-8062

MOUNTAIN STATES HEALTH ALLIANCE

Medicare Defined Swing Bed Unit

58 CARROLL ST
LEBANON, VA 24266

Russell County (276) 883-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenny Pruitt's NPI number?

The NPI number for Jenny Pruitt is 1528249133. It was assigned to this individual provider in the NPPES registry on November 26, 2007.

Where is Jenny Pruitt located?

Jenny Pruitt practices at 58 Carroll St Room 2037, Lebanon, VA 24266. The listed phone number is (276) 883-8062.

What is Jenny Pruitt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jenny Pruitt enrolled in Medicare?

Yes. Jenny Pruitt is registered in the Medicare PECOS enrollment system.

Is Jenny Pruitt affiliated with any hospitals?

According to CMS data, Jenny Pruitt is affiliated with Russell County Hospital, Smyth County Community Hospital and Johnston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jenny Pruitt was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.