JENNY ANNE OLIVER PA-C
NPI 1053072173
Physician Assistant in Camp Lejeune, NC
About Jenny Anne Oliver Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNY ANNE OLIVER PA-C (NPI 1053072173) is an individual physician assistant in Camp Lejeune, North Carolina, licensed in North Carolina (0010-14138) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hartford, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jenny Anne Oliver Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28547 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CAMP LEJEUNE, NC 28547
CAMP LEJEUNE, NC 28547
CAMP LEJEUNE, NC 28547
CAMP LEJEUNE, NC 28547
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 Jenny Oliver's NPI number?
The NPI number for Jenny Oliver is 1053072173. It was assigned to this individual provider in the NPPES registry on January 2, 2022. The provider is also known as Jenny Anne Van Wagoner.
Where is Jenny Oliver located?
Jenny Oliver practices at 100 Brewster Blvd, Camp Lejeune, NC 28547. The listed phone number is (910) 450-4357.
What is Jenny Oliver's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Jenny Oliver enrolled in Medicare?
Yes. Jenny Oliver is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jenny Oliver was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jenny Anne Oliver, PA-C · NPI 1053072173
Physician Assistant physician in Camp Lejeune, North Carolina. Individual provider, active in the CMS NPPES registry since January 2, 2022.
## Identity
- **NPI:** 1053072173 (Entity type: Individual)
- **Enumerated:** January 2, 2022
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 0010-14138 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 BREWSTER BLVD, Camp Lejeune, NC 28547-2575
- **Phone:** (910) 450-4357
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053072173) · Data from the CMS NPPES public registry.