JEFFERSON EMERGENCY SERVICES, PLLC
NPI 1720495336
Emergency Medicine in Jefferson, NC
About Jefferson Emergency Services, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERSON EMERGENCY SERVICES, PLLC (NPI 1720495336) is a healthcare organization registered as an emergency medicine in Jefferson, North Carolina and active in the NPI registry since July 2014. The organization lists Kim H Larsen, Director Of Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jefferson Emergency Services, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
61Medicare enrollment records show 61 clinicians reassign Medicare billing to Jefferson Emergency Services, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 61North Wilkesboro, NC 28659
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jefferson Emergency Services, PLLC's NPI number?
The NPI number for Jefferson Emergency Services, PLLC is 1720495336. It was assigned to this organization in the NPPES registry on July 15, 2014.
Where is Jefferson Emergency Services, PLLC located?
Jefferson Emergency Services, PLLC is located at 200 Hospital Ave, Jefferson, NC 28640. The listed phone number is (336) 846-0820.
What is Jefferson Emergency Services, PLLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jefferson Emergency Services, PLLC enrolled in Medicare?
Yes. Jefferson Emergency Services, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jefferson Emergency Services, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 61 clinicians in 5 Medicare specialties reassign their Medicare billing to Jefferson Emergency Services, PLLC. A 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 the clinician's services. The largest specialties are Emergency Medicine (40), Family Practice (12) and Nurse Practitioner (7). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jefferson Emergency Services, PLLC accept?
Health plans from Cigna Healthcare list Jefferson Emergency Services, PLLC 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 Jefferson Emergency Services, PLLC was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jefferson Emergency Services, Pllc · NPI 1720495336
Emergency Medicine organization in Jefferson, North Carolina. Organization record, active in the CMS NPPES registry since July 15, 2014.
## Identity
- **NPI:** 1720495336 (Entity type: Organization)
- **Enumerated:** July 15, 2014
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Kim Larsen, DIRECTOR OF CREDENTIALING
## Practice location
- **Address:** 200 HOSPITAL AVE, Jefferson, NC 28640-9244
- **Phone:** (336) 846-0820 · **Fax:** (770) 874-5483
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 61 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (40), Family Practice (12), Nurse Practitioner (7); 2 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1720495336/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1720495336) · Data from the CMS NPPES public registry.