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JESSIE R SOR PA-C
NPI 1275123820
Physician Assistant in Honolulu, HI

Active since January 18, 2021PECOS EnrolledAccepts Medicare Assignment
277 OHUA AVE, HONOLULU, HI 96815(808) 922-4787 Get Directions Write a Review

NPPES record last updated: July 12, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 12, 2025, Apr 22, 2024, Jan 18, 2021 (3 updates tracked since 2021).

About Jessie R Sor Pa-c NPPES

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

JESSIE R SOR PA-C (NPI 1275123820) is an individual physician assistant in Honolulu, Hawaii and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of City University Of New York School Of Medicine (2024).

NPPES Registry Identity

NPI1275123820
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSIE R SORCredential: PA-C
Location Address277 OHUA AVEHonolulu, HI 96815-6612
Mailing Address277 Ohua AveHonolulu, HI 96815-6612 · (214) 606-1781
Phone(808) 922-4787
Sole ProprietorNo
Medical School CMSCity University Of New York School Of MedicineGraduated 2024
Enumeration DateJanuary 18, 2021
Last NPPES UpdateJuly 12, 20253 updates tracked since enumeration
NPPES CertifiedJuly 12, 2025
✔ NPI 1275123820 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.
277 OHUA AVE, Honolulu, HI 96815
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

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

Jessie R Sor 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.

PECOS PAC ID8921534645
PECOS Enrollment IDI20241204004501
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96815 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

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.

JESSICA JUNG ACKERMAN FNP
Nurse Practitioner
277 OHUA AVE
HONOLULU, HI 96815
Honolulu County (808) 922-4787
MISS AYANNA RECE JOSE
Physician Assistant
277 OHUA AVE
HONOLULU, HI 96815
Honolulu County (808) 922-4787
WAIKIKI HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
277 OHUA AVE
HONOLULU, HI 96815
Honolulu County (808) 922-4787
MRS. YUKIKO N HUNT R.D.
Dietitian, Registered
277 OHUA AVE
HONOLULU, HI 96815
Honolulu County (808) 922-4787
JAMIE TAMAYOSE PA-C
Physician Assistant
277 OHUA AVE
HONOLULU, HI 96815
Honolulu County (808) 922-4787
UNITED SELF HELP
Case Management
277 OHUA AVE, ROOM 205 H
HONOLULU, HI 96815
Honolulu County (808) 947-5558
MR. CONRAD WK MORENO PHD
Psychologist
277 OHUA AVE
HONOLULU, HI 96815
Honolulu County (808) 922-4787
EMERSON LAU
Physician Assistant
277 OHUA AVE
HONOLULU, HI 96815
Honolulu County (808) 922-4787

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 Jessie Sor's NPI number?

The NPI number for Jessie Sor is 1275123820. It was assigned to this individual provider in the NPPES registry on January 18, 2021.

Where is Jessie Sor located?

Jessie Sor practices at 277 Ohua Ave, Honolulu, HI 96815. The listed phone number is (808) 922-4787.

What is Jessie Sor's specialty?

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

Is Jessie Sor enrolled in Medicare?

Yes. Jessie Sor 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.

What insurance does Jessie Sor accept?

Health plans from HMSA list Jessie Sor 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 Jessie Sor was last updated on July 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.