JILL EILEEN SCULLY PA-C
NPI 1528333465
Physician Assistant - Medical in Citrus Heights, CA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since March 10, 2012PECOS Enrolled

5959 GREENBACK LN, CITRUS HEIGHTS, CA 95621(916) 737-5555 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 25, 2020, Mar 20, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Jill Eileen Scully Pa-c NPPES

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

JILL EILEEN SCULLY PA-C (NPI 1528333465) is an individual medical provider in Citrus Heights, California, licensed in California (PA22813) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528333465

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJILL EILEEN SCULLYCredential: PA-C

Location Address5959 GREENBACK LNCitrus Heights, CA 95621-4700

Mailing Address5959 Greenback LnCitrus Heights, CA 95621-4700

Phone(916) 737-5555

Sole ProprietorNo

Enumeration DateMarch 10, 2012

Last NPPES UpdateAugust 25, 20204 updates tracked since enumeration

NPPES CertifiedAugust 25, 2020

✔ NPI 1528333465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in CA · PA22813✔ Licensed in NV · PA1324

5959 GREENBACK LN, Citrus Heights, CA 95621

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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)

Jill Eileen Scully Pa-c 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.