Jacqueline Anne Boulris, PA-C
Medical Physician Assistant · Reston, VA
Jacqueline Anne Boulris, PA-C is a medical physician assistant with a practice address in Reston, Virginia, and NPI 1639937154, issued on Mar 11, 2024. Check the license (Virginia 0110009803, as entered in NPPES) with the Virginia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacqueline Anne Boulris
- Credential
- PA-C
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- 0110009803 VA
Self-reported in NPPES; status is on the state search - Practice location
- 1860 Town Center Dr Ste 240, Reston, VA 20190
- Phone
- (703) 796-1986
- Enumerated
- Mar 11, 2024
- Record last updated
- Feb 21, 2025
- Medicare enrollment
- Enrolled (PECOS I20260416000809); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 941 in Virginia → Look up another NPI →
Also registered at 1860 Town Center Dr Ste 240
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Agata Greer, PAMedical Physician Assistant1598322406
- Alicia Stringham, PA-CObstetrics & Gynecology Physician1285471227
Verify Jacqueline Anne Boulris in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Virginia board licenses this profession
Search for license 0110009803Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $51.57
2 payments; by number, the most common kind was food and beverage; the largest payer was Aspira Women's Health Inc. The 16,165 providers of this specialty with any payment received $1,055.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Jacqueline Anne Boulris among 941 medical physician assistant records in Virginia
Jacqueline Anne Boulris, PA-C is one of 941 medical physician assistant records with a practice address in Virginia. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 92% of them.
- NPI issued2024 · 92% of these records are older, 4% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 56% of these records are
- Graduated2023 · median 2014 among the 525 with a school on file
- Record last updated2025 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
21 medical physician assistant records list a practice address in Reston
They are 21 of the 1,676 NPPES records with a practice address in Reston, and 941 medical physician assistant records in Virginia.
All 941 in Virginia → Every provider in Reston → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Shannon Asko, PAReston, VA 201901730153313
- Angelique Black, PAReston, VA 201901932127644
- Samantha Chang, PA-CReston, VA 201901902232747
- Caitlin Fortune, PAReston, VA 201901215437413
- Ashley Gilchrist, PA-CReston, VA 201901104169507
- Agata Greer, PAReston, VA 201901598322406
- Heather Groves, P.A.Reston, VA 201901356697601
- Britt Klick, PAReston, VA 201901073530135
Common questions
What is Jacqueline Anne Boulris, PA-C's NPI number?
Jacqueline Anne Boulris, PA-C's National Provider Identifier (NPI) is 1639937154, issued on Mar 11, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Jacqueline Anne Boulris, PA-C located?
The NPPES record lists a practice address at 1860 Town Center Dr Ste 240, Reston, VA, 20190. Phone: (703) 796-1986. Providers update this record themselves, so call before visiting.
How can I verify Jacqueline Anne Boulris, PA-C's license?
NPPES lists Virginia license number 0110009803, as entered by the provider. Search the Virginia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.