Jessica Hallam, RN - Medicare Nurse Practitioner in Roanoke, VA

Jessica Hallam, RN is a medicare enrolled "Nurse Practitioner - Family" in Roanoke, Virginia. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mcv Associated Physicians and her current practice location is 2001 Crystal Spring Ave Sw, Roanoke, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 982-8201.

Jessica Hallam is licensed to practice in Virginia (license number 0024180237) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003377805.

Contact Information

Jessica Hallam, RN
2001 Crystal Spring Ave Sw,
Roanoke, VA 24014-2462
(540) 982-8201
(540) 224-1059

Map and Direction




Provider's Profile

Full NameJessica Hallam
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location2001 Crystal Spring Ave Sw, Roanoke, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Hallam graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1003377805
  • Provider Enumeration Date: 03/26/2019
  • Last Update Date: 12/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3779975560
  • Enrollment ID: I20220128001686

Medical Identifiers

Medical identifiers for Jessica Hallam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003377805NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0001231806 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 0024180237 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medical College Of Virginia HospitalsRichmond, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mcv Associated Physicians43855421171333

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Hallam allows following entities to bill medicare on her behalf.
Entity NameMcv Associated Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710959457
PECOS PAC ID: 4385542117
Enrollment ID: O20031230000559

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Hallam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica Hallam, RN
213 S Jefferson St Ste 1006,
Roanoke, VA 24011-1713

Ph: (540) 224-5352
Jessica Hallam, RN
2001 Crystal Spring Ave Sw,
Roanoke, VA 24014-2462

Ph: (540) 982-8201

Reviews and Comments


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Phone: 540-853-0100    Fax: 540-342-9308
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Phone: 540-981-7000    Fax: 540-981-8429

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.