DR. JESSICA VAN VLIET DMD
NPI 1811886989
Dentist in Gainesville, FL

Q: What is Jessica Van Vliet's NPI number?

The NPI number for Jessica Van Vliet is 1811886989. It was assigned to this individual provider in the NPPES registry on July 2, 2025. The provider is also known as Dr. Jessica Mcilvaine Dmd.

Q: What is Jessica Van Vliet's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Van Vliet was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 July 02, 2025PECOS Enrolled

928 NW 57TH ST, GAINESVILLE, FL 32605(352) 332-8133 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Jessica Van Vliet Dmd NPPES

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

DR. JESSICA VAN VLIET DMD (NPI 1811886989) is an individual dentist in Gainesville, Florida, licensed in Florida (30552) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1811886989

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. JESSICA VAN VLIETCredential: DMD

Location Address928 NW 57TH STGainesville, FL 32605-4482

Mailing Address928 Nw 57th StGainesville, FL 32605-4482

Phone(352) 332-8133

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 2, 2025

NPPES CertifiedJuly 1, 2025

✔ NPI 1811886989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · 30552

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

928 NW 57TH ST, Gainesville, FL 32605

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Other Names 1

Professional Name (2)Dr. Jessica Mcilvaine Dmd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Van Vliet Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092271452

PECOS Enrollment IDI20260727003500

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 Reassignment

Medicare enrollment records show Jessica Van Vliet reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Department Of Health

39 mi

Clinic/Center

1801 SE 32ND AVE
Ocala, FL 34471

Reassigned Medicare billing, Florida enrollment
13 clinicians in this Medicare group

NPI 1447296389 (352) 629-0137

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 32605 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

Other Providers at the Same Location NPPES 2

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

DR. RICHARD CHARLES CHILDERS MD

Dermatology

928 NW 57TH ST
GAINESVILLE, FL 32605

Alachua County (352) 331-0418

RICHARD C CHILDERS MD PA

Dermatology

928 NW 57TH ST
GAINESVILLE, FL 32605

Alachua County (352) 331-0418

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 Van Vliet's NPI number?

The NPI number for Jessica Van Vliet is 1811886989. It was assigned to this individual provider in the NPPES registry on July 2, 2025. The provider is also known as Dr. Jessica Mcilvaine Dmd.

Where is Jessica Van Vliet located?

Jessica Van Vliet practices at 928 NW 57th St, Gainesville, FL 32605. The listed phone number is (352) 332-8133.

What is Jessica Van Vliet's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jessica Van Vliet enrolled in Medicare?

Yes. Jessica Van Vliet is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Van Vliet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Van Vliet reassigns Medicare benefits to Florida Department Of Health (Ocala, FL). The 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 Jessica Van Vliet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Van Vliet was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.