MRS. JESSICA MARIE REBOLLAR PA-C
NPI 1538523204
Physician Assistant in Winston Salem, NC

Active since April 08, 2016PECOS EnrolledAccepts Medicare Assignment
400 JONESTOWN RD, WINSTON SALEM, NC 27104(336) 768-9515(336) 768-9082 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 7, 2022, Oct 27, 2020, Aug 22, 2016 (3 updates tracked since 2016).

About Mrs. Jessica Marie Rebollar Pa-c NPPES

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

MRS. JESSICA MARIE REBOLLAR PA-C (NPI 1538523204) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (0010-06570) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1538523204
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. JESSICA MARIE REBOLLARCredential: PA-C
Location Address400 JONESTOWN RDWinston Salem, NC 27104-4623
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 768-9515 · Fax (336) 768-9082
Fax(336) 768-9082
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 8, 2016
Last NPPES UpdateOctober 14, 20253 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
NPI 1538523204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-06570
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

400 JONESTOWN RD, Winston Salem, NC 27104

Accepted Insurance

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

Mrs. Jessica Marie Rebollar Pa-c 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 ID8527355403
PECOS Enrollment IDI20160920002117
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 3

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.
114 services68 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services69 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27104 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
89%91 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
79%120 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
46%145 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
62%55 patients3/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
4%70 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

Registered Nurse (General Practice)
400 JONESTOWN RD
WINSTON SALEM, NC 27104
Family Medicine
400 JONESTOWN RD
WINSTON SALEM, NC 27104
Family Medicine
400 JONESTOWN RD
WINSTON SALEM, NC 27104
Family Medicine
400 JONESTOWN RD
WINSTON SALEM, NC 27104
Family Medicine
400 JONESTOWN RD
WINSTON SALEM, NC 27104
Family Medicine
400 JONESTOWN RD
WINSTON SALEM, NC 27104
Nurse Practitioner
400 JONESTOWN RD
WINSTON SALEM, NC 27104
Family Medicine
400 JONESTOWN RD
WINSTON SALEM, NC 27104

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 Rebollar's NPI number?

The NPI number for Jessica Rebollar is 1538523204. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is Jessica Rebollar located?

Jessica Rebollar practices at 400 Jonestown Rd, Winston Salem, NC 27104. The listed phone number is (336) 768-9515.

What is Jessica Rebollar's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jessica Rebollar enrolled in Medicare?

Yes. Jessica Rebollar 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.

What insurance does Jessica Rebollar accept?

Health plans from Blue Cross and Blue Shield of NC list Jessica Rebollar 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.

Is Jessica Rebollar affiliated with any hospitals?

According to CMS data, Jessica Rebollar is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Rebollar was last updated on October 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.