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

Q: What is Jill Anderson's NPI number?

The NPI number for Jill Anderson is 1366606097. It was assigned to this individual provider in the NPPES registry on July 11, 2008. The provider is also known as Jill Leslie Benbow Pa-C.

Q: What is Jill Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jill Anderson was last updated on July 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.

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: August 16, 2026.

On this page

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 and is a graduate of Other (1999).

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

Phone(410) 550-0465

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

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

Open in Google Maps ↗

Other Names 1

Former Name (1)Jill Leslie Benbow Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill Leslie Anderson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608925359

PECOS Enrollment IDI20090528000619

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.

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.

DR. SUSRUTHA KOTWAL MD

Internal Medicine

4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224

Baltimore City (410) 550-5018

DR. SAMANTHA A WOLFE MD

Otolaryngology