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Jennifer Jasmine Bautista-Gogel, PA-C

NPI 1376829903ActiveIndividual· Physician Assistant· Alexandria, VA

Physician Assistant (PA-C) in Alexandria, Virginia, trained at Medical University of South Carolina College of Medicine (class of 2011). Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant.

Overview

NPI1376829903
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedOct 27, 2011
Last updated in NPPESDec 2, 2025
Certified by providerDec 2, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (DC); Practitioner - Physician Assistant (MD)

Medicare sources and data years

Education and affiliations

Medical schoolMedical University of South Carolina College of Medicine
Graduation year2011
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Alexandria

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