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

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: August 16, 2026.

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

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
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

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.

Other Providers at the Same Location NPPES 11

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

Optometrist (Vision Therapy)
5959 GREENBACK LN, SUITE 130
CITRUS HEIGHTS, CA 95621
Dentist (General Practice)
5959 GREENBACK LN, SUITE 110
CITRUS HEIGHTS, CA 95621
Dentist (General Practice)
5959 GREENBACK LN, UNIT 110
CITRUS HEIGHTS, CA 95621
Optometrist
5959 GREENBACK LN
CITRUS HEIGHTS, CA 95621
Optometrist
5959 GREENBACK LN, SUITE 130
CITRUS HEIGHTS, CA 95621
Non-Pharmacy Dispensing Site
5959 GREENBACK LN, SUITE 210
CITRUS HEIGHTS, CA 95621
Chiropractor
5959 GREENBACK LN, SUITE 430
CITRUS HEIGHTS, CA 95621
Pediatrics
5959 GREENBACK LN, SUITE 500
CITRUS HEIGHTS, CA 95621

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 Jill Scully's NPI number?

The NPI number for Jill Scully is 1528333465. It was assigned to this individual provider in the NPPES registry on March 10, 2012.

Where is Jill Scully located?

Jill Scully practices at 5959 Greenback Ln, Citrus Heights, CA 95621. The listed phone number is (916) 737-5555.

What is Jill Scully's specialty?

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

Is Jill Scully enrolled in Medicare?

Yes. Jill Scully is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jill Scully was last updated on August 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.