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MRS. JOVANNA ROSE MICKIE PA-C
NPI 1790910008
Physician Assistant - Medical in Fredericksburg, VA

Active since May 16, 2009PECOS Enrolled
1001 SAM PERRY, FREDERICKSBURG, VA 22408(540) 741-1167 Get Directions Write a Review

NPPES record last updated: November 8, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mrs. Jovanna Rose Mickie Pa-c NPPES

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

MRS. JOVANNA ROSE MICKIE PA-C (NPI 1790910008) is an individual medical provider in Fredericksburg, Virginia, licensed in Virginia (0110002468) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790910008
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. JOVANNA ROSE MICKIECredential: PA-C
Location Address1001 SAM PERRYFredericksburg, VA 22408-1822
Mailing Address1001 Sam PerryFredericksburg, VA 22408-1822 · (540) 741-1167
Phone(540) 741-1167
Sole ProprietorNo
Enumeration DateMay 16, 2009
Last NPPES UpdateNovember 8, 2012
✔ NPI 1790910008 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 · 0110002468
1001 SAM PERRY, Fredericksburg, VA 22408
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Other Identifiers 2

Medicare UPIN0110002468VA
Medicaid0110002468VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jovanna Rose Mickie Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
56 services56 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
27 services27 patients

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 Jovanna Mickie's NPI number?

The NPI number for Jovanna Mickie is 1790910008. It was assigned to this individual provider in the NPPES registry on May 16, 2009.

Where is Jovanna Mickie located?

Jovanna Mickie practices at 1001 Sam Perry, Fredericksburg, VA 22408. The listed phone number is (540) 741-1167.

What is Jovanna Mickie's specialty?

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

Is Jovanna Mickie enrolled in Medicare?

Yes. Jovanna Mickie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jovanna Mickie was last updated on November 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.