Jacqueline Anne Boulris, PA-C - Medicare Physician Assistant in Reston, VA

Jacqueline Anne Boulris, PA-C is a medicare enrolled "Physician Assistant - Medical" in Reston, Virginia. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is 1860 Town Center Dr Ste 240, Reston, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 796-1986.

Jacqueline Anne Boulris is licensed to practice in Virginia (license number 0110009803) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1639937154.

Contact Information

Jacqueline Anne Boulris, PA-C
1860 Town Center Dr Ste 240,
Reston, VA 20190-5899
(703) 796-1986
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Anne Boulris
GenderFemale
SpecialityPhysician Assistant
Experience3 Years
Location1860 Town Center Dr Ste 240, Reston, Virginia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline Anne Boulris graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1639937154
  • Provider Enumeration Date: 03/11/2024
  • Last Update Date: 02/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0143796227
  • Enrollment ID: I20260416000809

Medical Identifiers

Medical identifiers for Jacqueline Anne Boulris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639937154NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 0110009803 (Virginia)Primary

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. Jacqueline Anne Boulris 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
Jacqueline Anne Boulris, PA-C
1860 Town Center Dr Ste 240,
Reston, VA 20190-5899

Ph: (703) 796-1986
Jacqueline Anne Boulris, PA-C
1860 Town Center Dr Ste 240,
Reston, VA 20190-5899

Ph: (703) 796-1986

Reviews and Comments


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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).

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