JILL LESLIE ANDERSON PA-C
NPI 1366606097
Physician Assistant - Surgical in Baltimore, MD

Active since July 11, 2008PECOS Enrolled
4940 EASTERN AVE, B-121, BALTIMORE, MD 21224(410) 550-0465 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jill Leslie Anderson Pa-c NPPES

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

JILL LESLIE ANDERSON PA-C (NPI 1366606097) is an individual surgical provider in Baltimore, Maryland, licensed in Maryland (C0002230) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366606097
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJILL LESLIE ANDERSONCredential: PA-C
Location Address4940 EASTERN AVE, B-121Baltimore, MD 21224-2735
Mailing Address4940 Eastern Ave, B-121Baltimore, MD 21224-2735 · (410) 550-0465
Sole ProprietorNo
Enumeration DateJuly 11, 2008
NPI 1366606097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MD · C0002230
4940 EASTERN AVE, Baltimore, MD 21224

Other Names 1

Former Name (1)Jill Leslie Benbow Pa-c

Medicare Participation & PECOS Enrollment Status

Jill Anderson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for JILL LESLIE ANDERSON PA-C

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Urology
4940 EASTERN AVE
BALTIMORE, MD 21224
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Internal Medicine (Nephrology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Psychiatry & Neurology (Psychiatry)
4940 EASTERN AVE
BALTIMORE, MD 21224
Psychologist
4940 EASTERN AVE
BALTIMORE, MD 21224
Emergency Medicine
4940 EASTERN AVE
BALTIMORE, MD 21224
Nurse Anesthetist, Certified Registered
4940 EASTERN AVE
BALTIMORE, MD 21224
Internal Medicine
4940 EASTERN AVE
BALTIMORE, MD 21224
Nurse Anesthetist, Certified Registered
4940 EASTERN AVE
BALTIMORE, MD 21224
Psychologist (Clinical)
4940 EASTERN AVE
BALTIMORE, MD 21224
Orthopaedic Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224
Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224
Obstetrics & Gynecology
4940 EASTERN AVE
BALTIMORE, MD 21224
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Psychiatry & Neurology (Psychiatry)
4940 EASTERN AVE
BALTIMORE, MD 21224
Pediatrics
4940 EASTERN AVE
BALTIMORE, MD 21224
Internal Medicine
4940 EASTERN AVE
BALTIMORE, MD 21224
Psychiatry & Neurology (Psychiatry)
4940 EASTERN AVE
BALTIMORE, MD 21224

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366606097, enumerated as an "individual" on July 11, 2008.

The provider is located at 4940 EASTERN AVE B-121 BALTIMORE, MD 21224 and the phone number is (410) 550-0465.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.