| Mr Jason Patrick Itson Sr, MSN, AGACNP-BC | |
| 
					3133 Yardley Dr Nw, Roanoke, VA 24012-2309  | |
| (540) 330-4455 | |
| Not Available | 
| Full Name | Mr Jason Patrick Itson Sr | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Acute Care | 
| Location | 3133 Yardley Dr Nw, Roanoke, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1578158465 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001270289 (Virginia) | Secondary | 
| 363LA2100X | Nurse Practitioner - Acute Care | 0024182828 (Virginia) | Primary | 
| Entity Name | Hospitalist Medicine Physicians Of Virginia Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770756991 PECOS PAC ID: 5698842235 Enrollment ID: O20081118000789  | 
| Entity Name | Hospitalist Medicine Physicians Of Fredericksburg, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1447577572 PECOS PAC ID: 7719179407 Enrollment ID: O20101013000902  | 
| Entity Name | Wildwood Physician Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629560917 PECOS PAC ID: 1850649310 Enrollment ID: O20180731003816  | 
| Entity Name | Kingsford Physician Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871088526 PECOS PAC ID: 0840541017 Enrollment ID: O20180927000385  | 
| Entity Name | Signify Health Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210226002383  | 
| Entity Name | Neighborcare Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679210181 PECOS PAC ID: 0648640532 Enrollment ID: O20230111000735  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Jason Patrick Itson Sr, MSN, AGACNP-BC 8034 Cedar Edge Rd, Roanoke, VA 24018-5852 Ph: (540) 330-4455  | Mr Jason Patrick Itson Sr, MSN, AGACNP-BC 3133 Yardley Dr Nw, Roanoke, VA 24012-2309 Ph: (540) 330-4455  | 
Mrs. Modupe Oluwaseyi Jolaoso White, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212  | |
Dr. Gwendolyn Williams Spangler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 Campbell Ave Sw, Roanoke, VA 24016 Phone: 540-400-7431  | |
Ashlyn Brooke Conrad,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000  | |
Brandlene Leigh Ratcliffe,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5372 Fallowater Ln, Roanoke, VA 24018 Phone: 540-283-6000  | |
Victoria Shelly, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6415 Peters Creek Rd, Roanoke, VA 24019 Phone: 540-265-5500  | |
Beverly Ann Jones, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014 Phone: 540-853-0100 Fax: 540-342-9308  | |
Rosemary Anne Zaucha, MSN, MA, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 Fax: 540-981-8429  |