Individual provider

Jennifer Archibald, PA-C

Surgical Physician Assistant Medicare enrolled

Jennifer Archibald, PA-C is a Surgical Physician Assistant in Falls Church, VA, registered under NPI 1144409103.

Getting there

The practice address on file is 1069 W BROAD ST SUITE 908, Falls Church, VA 22046. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1069 W BROAD ST SUITE 908, Falls Church, VA 22046 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
0110004222 VA Surgical Physician Assistant primary
C03660 MD Surgical Physician Assistant
655 MT Surgical Physician Assistant

Licences are recorded in 3 states: VA, MD, MT. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
1456430404

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: Maryland, Montana and Virginia. The practice address on file is in Falls Church, VA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MD Maryland
Licence
C03660
Specialty
Surgical Physician Assistant
Verify with the MD board →
MT Montana
Licence
655
Specialty
Surgical Physician Assistant
Verify with the MT board →
VA Virginia practice address
Licence
0110004222
Specialty
Surgical Physician Assistant
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Surgical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Surgical

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363AS0400X Surgical Physician Assistant Surgical 0110004222 VA primary
363AS0400X Surgical Physician Assistant Surgical C03660 MD
363AS0400X Surgical Physician Assistant Surgical 655 MT

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1144409103 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 26, 2007
Last updatedMay 17, 2013
StatusActive
Sole proprietorNo
CredentialPA-C
Practice address 1069 W BROAD ST
SUITE 908
Falls Church, VA 22046
(877) 230-9617
Other identifiers 1144409103 · BCBS (MT)
1144409103 (MT)
1081067 · NCCPA
This record was last updated on May 17, 2013, roughly 13 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1144409103 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 4 4 4 0 9 1 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 8 4 8 0 9 1 0

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1144409103?
NPI 1144409103 is the National Provider Identifier assigned to Jennifer Archibald, PA-C in Falls Church, VA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgical cover?
Definition to come...
How do I contact Jennifer Archibald, PA-C?
The phone number on file with NPPES is (877) 230-9617, last updated May 17, 2013. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jennifer Archibald, PA-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1144409103 a valid number?
Yes. 1144409103 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.