JILLIAN HERMA VAN ESSENDELFT PA
NPI 1083209217
Physician Assistant in Charlotte, NC

Q: What is Jillian Van Essendelft's NPI number?

The NPI number for Jillian Van Essendelft is 1083209217. It was assigned to this individual provider in the NPPES registry on March 9, 2021.

Q: What is Jillian Van Essendelft's specialty?

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

Active since March 09, 2021PECOS Enrolled

1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1255 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2022, Aug 25, 2022, Apr 6, 2022 and 3 more (6 updates tracked since 2021).

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About Jillian Herma Van Essendelft Pa NPPES

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

JILLIAN HERMA VAN ESSENDELFT PA (NPI 1083209217) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-11260) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1083209217

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJILLIAN HERMA VAN ESSENDELFTCredential: PA

Location Address1350 S KINGS DRCharlotte, NC 28207-2134

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 446-1255

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 9, 2021

Last NPPES UpdateSeptember 12, 20226 updates tracked since enumeration

NPPES CertifiedNovember 30, 2021

✔ NPI 1083209217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-11260

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.

1350 S KINGS DR, Charlotte, NC 28207

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Secondary Practice Locations 4

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-4490

Location 21025 Morehead Medical Dr, Ste 300Charlotte, NC 28204-2963 · Phone (704) 355-1813

Location 3200 Medical Park Dr, Ste 430Concord, NC 28025-2982 · Phone (704) 403-7070

Location 4101 E Wt Harris Blvd, Ste 5500ACharlotte, NC 28262-3485 · Phone (704) 863-1520

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jillian Herma Van Essendelft Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567868813

PECOS Enrollment IDI20210910002803

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340069

Location3000 New Bern AveRaleigh, NC 27610 · Wake County

Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340114

Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

KRISTINA JASMIN HARRELL MD

Pediatrics (Pediatric Hematology-Oncology)