JILL MICHELLE WHITLEY PA-C
NPI 1003072174
Physician Assistant in Bryan, TX

Active since July 29, 2008Opted out of Medicare · through Oct 1, 2026
604 E 27TH ST, BRYAN, TX 77803(979) 314-1336(502) 385-6508 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jill Michelle Whitley Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILL MICHELLE WHITLEY PA-C (NPI 1003072174) is an individual physician assistant in Bryan, Texas and active in the NPI registry since July 2008. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1003072174
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJILL MICHELLE WHITLEYCredential: PA-C
Location Address604 E 27TH STBryan, TX 77803-4026
Mailing Address604 E 27th StBryan, TX 77803-4026 · (979) 314-1336 · Fax (502) 385-6508
Fax(502) 385-6508
Sole ProprietorNo
Enumeration DateJuly 29, 2008
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
NPI 1003072174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
604 E 27TH ST, Bryan, TX 77803

Other Identifiers 4

Medicaid202438205TX
Medicaid202438204TX
Other1003072174TX · Tricare
Other892N51TX · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jill Michelle Whitley Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
604 E 27TH ST
BRYAN, TX 77803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Whitley's NPI number?

The NPI number for Jill Whitley is 1003072174. It was assigned to this individual provider in the NPPES registry on July 29, 2008.

Where is Jill Whitley located?

Jill Whitley practices at 604 E 27th St, Bryan, TX 77803. The listed phone number is (979) 314-1336.

What is Jill Whitley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jill Whitley enrolled in Medicare?

No. Jill Whitley has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jill Whitley accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare list Jill Whitley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jill Whitley was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.