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ELIZABETH ASHLEY JEAN PHD
NPI 1528524329
Psychologist - Clinical in Charlotte, NC

Active since February 17, 2019PECOS Enrolled
1001 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-0101 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, Oct 4, 2023, Feb 17, 2019 (3 updates tracked since 2019).

About Elizabeth Ashley Jean Phd NPPES

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

ELIZABETH ASHLEY JEAN PHD (NPI 1528524329) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (6424) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1528524329
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameELIZABETH ASHLEY JEANCredential: PHD
Location Address1001 BLYTHE BLVDCharlotte, NC 28203-5866
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 355-0101
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 17, 2019
Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1528524329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NC · 6424
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 6424 (NC)
1001 BLYTHE BLVD, Charlotte, NC 28203
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14501 Cameron Valley Pkwy, Ste 300Charlotte, NC 28211-4297 · Phone (704) 355-0101
Location 21001 Blythe Blvd, Ste 601Charlotte, NC 28203-5866 · Phone (704) 355-6930

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Ashley Jean Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678924594
PECOS Enrollment IDI20260105002313
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

3

Medicare enrollment records show Elizabeth Jean reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Charlotte-Mecklenburg Hospital Authority
0.1 mi
Gastroenterology
1025 MOREHEAD MEDICAL DR, STE 300
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1992173165 (704) 355-4593
Inova Health Care Services
321 mi
Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia enrollment
  • 282 clinicians in this Medicare group
NPI 1952320061 (703) 321-2627
Pediatric Specialists Of Virginia, LLC
322 mi
Pediatrics
3023 HAMAKER CT, SUITE 200
Fairfax, VA 22031
  • Reassigned Medicare billing, District of Columbia enrollment
  • 128 clinicians in this Medicare group
NPI 1699119818 (703) 848-6627

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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
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 20

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

AMANDA MARIE SEBRING MD
Pediatrics (Pediatric Critical Care Medicine)
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
HANNA LYN JAKOBEK NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
JANETTA KITCHKO PA
Physician Assistant
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
NICOLE A. CAGLE RICHARDSON MD
Pediatrics
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
GAIL MARGARET HARRIS NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
PAMELA CAROL JACKSON NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
BRITTANY FORREN ROGERS NP
Nurse Practitioner
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-1450
MS. RACHAEL LAMERE KAIN PA-C
Physician Assistant (Surgical)
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 446-3350

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 Elizabeth Jean's NPI number?

The NPI number for Elizabeth Jean is 1528524329. It was assigned to this individual provider in the NPPES registry on February 17, 2019.

Where is Elizabeth Jean located?

Elizabeth Jean practices at 1001 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 355-0101.

What is Elizabeth Jean's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Elizabeth Jean enrolled in Medicare?

Yes. Elizabeth Jean is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Jean's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Jean reassigns Medicare benefits to 3 organizations: The Charlotte-Mecklenburg Hospital Authority (Charlotte, NC), Inova Health Care Services (Falls Church, VA) and Pediatric Specialists Of Virginia, LLC (Fairfax, VA). 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 Elizabeth Jean's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Jean accept?

Health plans from Oscar Health list Elizabeth Jean 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 Elizabeth Jean was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.