MR. PHILLIP THOMAS JANSSEN MPAS
NPI 1609952100
Physician Assistant - Medical in Fort Bragg, NC

Active since October 27, 2006PECOS Enrolled
2817 REILLY ROAD MCXC COD CREDENTIALS, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310(910) 907-8922(910) 907-6069 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Phillip Thomas Janssen Mpas NPPES

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

MR. PHILLIP THOMAS JANSSEN MPAS (NPI 1609952100) is an individual medical provider in Fort Bragg, North Carolina and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609952100
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. PHILLIP THOMAS JANSSENCredential: MPAS
Location Address2817 REILLY ROAD MCXC COD CREDENTIALS, WOMACK ARMY MEDICAL CENTERFort Bragg, NC 28310-0001
Mailing Address2817 Reilly Road Mcxc Cod Credentials, Womack Army Medical CenterFort Bragg, NC 28310-0001 · (910) 907-8922 · Fax (910) 907-6069
Fax(910) 907-6069
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1609952100 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
2817 REILLY ROAD MCXC COD CREDENTIALS, Fort Bragg, NC 28310

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Phillip Thomas Janssen Mpas 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 6

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

Psychologist (Clinical)
2817 REILLY ROAD MCXC COD CREDENTIALS, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Physician Assistant
2817 REILLY ROAD MCXC COD CREDENTIALS, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Internal Medicine (Cardiovascular Disease)
2817 REILLY ROAD MCXC COD CREDENTIALS, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Family Medicine
2817 REILLY ROAD MCXC COD CREDENTIALS, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Registered Nurse (Community Health)
2817 REILLY ROAD MCXC COD CREDENTIALS, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Nurse Practitioner (Pediatrics)
2817 REILLY ROAD MCXC COD CREDENTIALS, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310

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 Phillip Janssen's NPI number?

The NPI number for Phillip Janssen is 1609952100. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Phillip Janssen located?

Phillip Janssen practices at 2817 Reilly Road Mcxc Cod Credentials Womack Army Medical Center, Fort Bragg, NC 28310. The listed phone number is (910) 907-8922.

What is Phillip Janssen's specialty?

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

Is Phillip Janssen enrolled in Medicare?

Yes. Phillip Janssen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phillip Janssen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.