JESSICA WASSEF DO
NPI 1467089045
Student in an Organized Health Care Education/Training Program in Grand Rapids, MI

Q: What is Jessica Wassef's NPI number?

The NPI number for Jessica Wassef is 1467089045. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Q: What is Jessica Wassef's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Wassef was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since March 24, 2020PECOS Enrolled

4100 LAKE DR SE STE 205, GRAND RAPIDS, MI 49546(616) 267-7100 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2025, Feb 9, 2022, Mar 24, 2020 (3 updates tracked since 2020).

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About Jessica Wassef Do NPPES

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

JESSICA WASSEF DO (NPI 1467089045) is an individual student in an organized health care education/training program in Grand Rapids, Michigan and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467089045

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJESSICA WASSEFCredential: DO

Location Address4100 LAKE DR SE STE 205Grand Rapids, MI 49546-8292

Mailing Address4100 Lake Dr Se Ste 205Grand Rapids, MI 49546-8292 · (616) 267-7100

Phone(616) 267-7100

Sole ProprietorNo

Enumeration DateMarch 24, 2020

Last NPPES UpdateAugust 7, 20253 updates tracked since enumeration

NPPES CertifiedAugust 7, 2025

✔ NPI 1467089045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 5101028674 (MI)

4100 LAKE DR SE STE 205, Grand Rapids, MI 49546

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Wassef Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

ROSS REYNOLDS PA

Physician Assistant