JESSICA JAMESON DEANE-WYMAN MD
NPI 1366769044
Obstetrics & Gynecology in Charlotte, NC

Active since April 21, 2010PECOS EnrolledAccepts Medicare Assignment
2100 S TRYON ST, STE 201, CHARLOTTE, NC 28203(704) 316-3000(704) 316-3001 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2022, Oct 26, 2020, Apr 10, 2018 and 1 more (4 updates tracked since 2017).

About Jessica Jameson Deane-wyman Md NPPES

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

JESSICA JAMESON DEANE-WYMAN MD (NPI 1366769044) is an individual obstetrics & gynecology provider in Charlotte, North Carolina, licensed in North Carolina (2014-00173) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of University Of Vermont College Of Medicine (2010).

NPPES Registry Identity

NPI1366769044
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameJESSICA JAMESON DEANE-WYMANCredential: MD
Location Address2100 S TRYON ST, STE 201Charlotte, NC 28203-4958
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 316-3000 · Fax (704) 316-3001
Fax(704) 316-3001
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2010
Enumeration DateApril 21, 2010
Last NPPES UpdateMay 26, 20224 updates tracked since enumeration
NPPES CertifiedMay 10, 2022
✔ NPI 1366769044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NC · 2014-00173✔ Licensed in NC · 164466
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2100 S TRYON ST, Charlotte, NC 28203

Other Names 1

Former Name (1)Jessica J Deane Md

Secondary Practice Location 1

Location 12400 South Blvd Ste 103Charlotte, NC 28203-5773 · Phone (704) 316-3000 · Fax (704) 316-3001

Other Identifiers 2

Medicaid1366769044NC
MedicaidNC2198SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Jameson Deane-wyman Md 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 ID3971724063
PECOS Enrollment IDI20141014000855
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Deane-wyman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
2100 S TRYON ST STE 201
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1619524881 (North Carolina)
  • 2,998 clinicians in this Medicare group
Infectious Disease
2085 FRONTIS PLAZA BLVD
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 164 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
2100 S TRYON ST, STE 201
CHARLOTTE, NC 28203
Clinic/Center (Physical Therapy)
2100 S TRYON ST, STE 201
CHARLOTTE, NC 28203
Obstetrics & Gynecology
2100 S TRYON ST
CHARLOTTE, NC 28203
Obstetrics & Gynecology
2100 S TRYON ST, STE 201
CHARLOTTE, NC 28203

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 Jessica Deane-wyman's NPI number?

The NPI number for Jessica Deane-wyman is 1366769044. It was assigned to this individual provider in the NPPES registry on April 21, 2010. The provider is also known as Jessica J Deane MD.

Where is Jessica Deane-wyman located?

Jessica Deane-wyman practices at 2100 S Tryon St Ste 201, Charlotte, NC 28203. The listed phone number is (704) 316-3000.

What is Jessica Deane-wyman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jessica Deane-wyman enrolled in Medicare?

Yes. Jessica Deane-wyman 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.

Which organizations bill Medicare for Jessica Deane-wyman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Deane-wyman reassigns Medicare benefits to 2 organizations: Novant Health Medical Group, LLC (Charlotte, NC) and Nh Digital Health Services, LLC (Winston Salem, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Deane-wyman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Deane-wyman accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Jessica Deane-wyman 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 Jessica Deane-wyman was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.