JESSICA LYNN WHITE PA-C
NPI 1659675742
Physician Assistant - Medical in Ronceverte, WV

Q: What is Jessica White's NPI number?

The NPI number for Jessica White is 1659675742. It was assigned to this individual provider in the NPPES registry on January 4, 2011.

Q: What is Jessica White's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica White was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 04, 2011PECOS Enrolled

200 MAPLEWOOD AVE, RONCEVERTE, WV 24970(304) 647-1148(304) 647-3006 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessica Lynn White Pa-c NPPES

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

JESSICA LYNN WHITE PA-C (NPI 1659675742) is an individual medical provider in Ronceverte, West Virginia, licensed in West Virginia (01471) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659675742

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJESSICA LYNN WHITECredential: PA-C

Location Address200 MAPLEWOOD AVERonceverte, WV 24970-1334

Mailing Address200 Maplewood AveRonceverte, WV 24970-1334 · (304) 647-1148 · Fax (304) 647-3006

Phone(304) 647-1148

Fax(304) 647-3006

Sole ProprietorNo

Enumeration DateJanuary 4, 2011

Last NPPES UpdateAugust 13, 2014

✔ NPI 1659675742 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

License✔ Licensed in WV · 01471

200 MAPLEWOOD AVE, Ronceverte, WV 24970

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynn White 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$17.74 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$107.59 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. JOSEPH LUTZ PA-C

Physician Assistant (Medical)