JESSICA VANETESSE PAC
NPI 1508268707
Physician Assistant - Medical in Lancaster, PA

Active since September 18, 2014PECOS EnrolledAccepts Medicare Assignment
264 GRANITE RUN DR, LANCASTER, PA 17601(717) 721-8205(717) 721-8251 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2020, Jan 9, 2018 (2 updates tracked since 2018).

About Jessica Vanetesse Pac NPPES

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

JESSICA VANETESSE PAC (NPI 1508268707) is an individual medical provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MA057163) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and maintains a secondary practice location in Midlothian.

NPPES Registry Identity

NPI1508268707
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJESSICA VANETESSECredential: PAC
Location Address264 GRANITE RUN DRLancaster, PA 17601-6804
Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 721-8205 · Fax (717) 721-8251
Fax(717) 721-8251
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 18, 2014
Last NPPES UpdateJuly 6, 20202 updates tracked since enumeration
NPPES CertifiedJuly 6, 2020
NPI 1508268707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA057163
Also ListedPhysician AssistantTaxonomy 363A00000X · License MA057163, OA003392, 0110004917 (VA)
264 GRANITE RUN DR, Lancaster, PA 17601

Secondary Practice Location 1

Location 113911 St Francis Blvd, Suite 101Midlothian, VA 23114-3256 · Phone (804) 320-3999 · Fax (804) 323-9383

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

Jessica Vanetesse Pac 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 ID1951626969
PECOS Enrollment IDI20150216001280
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner
264 GRANITE RUN DR
LANCASTER, PA 17601
Family Medicine
264 GRANITE RUN DR
LANCASTER, PA 17601
Family Medicine
264 GRANITE RUN DR
LANCASTER, PA 17601
Family Medicine
264 GRANITE RUN DR
LANCASTER, PA 17601
Family Medicine
264 GRANITE RUN DR
LANCASTER, PA 17601
Family Medicine
264 GRANITE RUN DR
LANCASTER, PA 17601

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 Vanetesse's NPI number?

The NPI number for Jessica Vanetesse is 1508268707. It was assigned to this individual provider in the NPPES registry on September 18, 2014.

Where is Jessica Vanetesse located?

Jessica Vanetesse practices at 264 Granite Run Dr, Lancaster, PA 17601. The listed phone number is (717) 721-8205.

What is Jessica Vanetesse's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jessica Vanetesse enrolled in Medicare?

Yes. Jessica Vanetesse 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.

Is Jessica Vanetesse affiliated with any hospitals?

According to CMS data, Jessica Vanetesse is affiliated with Lancaster General Hospital and Wellspan Ephrata Community Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Vanetesse was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.