JESSE ILLICH PAS1
NPI 1821749383
Physician Assistant in Boone, NC

Active since January 15, 2022PECOS EnrolledAccepts Medicare Assignment
240 HIGHWAY 105 EXT STE 100, BOONE, NC 28607(828) 264-7311(828) 264-7907 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2023, Jan 15, 2022 (2 updates tracked since 2022).

About Jesse Illich Pas1 NPPES

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

JESSE ILLICH PAS1 (NPI 1821749383) is an individual physician assistant in Boone, North Carolina, licensed in North Carolina (0010-13685) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, is affiliated with Watauga Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1821749383
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJESSE ILLICHCredential: PAS1
Location Address240 HIGHWAY 105 EXT STE 100Boone, NC 28607-4291
Mailing AddressPo Box 1490Boone, NC 28607-1490 · (828) 262-3886 · Fax (828) 265-4816
Fax(828) 264-7907
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 15, 2022
Last NPPES UpdateDecember 14, 20232 updates tracked since enumeration
NPPES CertifiedDecember 14, 2023
NPI 1821749383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-13685
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.
240 HIGHWAY 105 EXT STE 100, Boone, NC 28607

Secondary Practice Locations 5

Location 13200 S University DrDavie, FL 33328-2018 · Phone (954) 262-1250
Location 2448 Cranberry StNewland, NC 28657-8800 · Phone (828) 737-0221 · Fax (828) 737-0321
Location 31925 N Bridge St Ste 101Elkin, NC 28621-2105 · Phone (336) 835-7337 · Fax (336) 835-7301
Location 4935 State Farm RdBoone, NC 28607-4948 · Phone (828) 262-3886 · Fax (828) 265-4816
Location 5301 E Meeting St Ste 101Morganton, NC 28655-3594 · Phone (828) 608-0800 · Fax (828) 528-5800

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

Jesse Illich Pas1 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 ID7810333572
PECOS Enrollment IDI20240315003183
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 2

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
29 services20 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Watauga Medical Center

Acute Care Hospitals · Boone, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340051
Location336 Deerfield RoadBoone, NC 28607 · Watauga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28607 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.

Other Providers at the Same Location NPPES 15

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

Social Worker (Clinical)
240 HIGHWAY 105 EXT STE 100
BOONE, NC 28607
Nurse Practitioner (Family)
240 HIGHWAY 105 EXT STE 100
BOONE, NC 28607
Social Worker (Clinical)
240 HIGHWAY 105 EXT STE 100
BOONE, NC 28607
Counselor (Mental Health)
240 HIGHWAY 105 EXT STE 100
BOONE, NC 28607
Family Medicine
240 HIGHWAY 105 EXT STE 100
BOONE, NC 28607
Clinic/Center (Federally Qualified Health Center (FQHC))
240 HIGHWAY 105 EXT STE 100
BOONE, NC 28607
Counselor (Professional)
240 HIGHWAY 105 EXT STE 100
BOONE, NC 28607
Psychologist
240 HIGHWAY 105 EXT STE 100
BOONE, NC 28607

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 Jesse Illich's NPI number?

The NPI number for Jesse Illich is 1821749383. It was assigned to this individual provider in the NPPES registry on January 15, 2022.

Where is Jesse Illich located?

Jesse Illich practices at 240 Highway 105 Ext Ste 100, Boone, NC 28607. The listed phone number is (828) 264-7311.

What is Jesse Illich's specialty?

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

Is Jesse Illich enrolled in Medicare?

Yes. Jesse Illich 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 Jesse Illich accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Jesse Illich 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 Jesse Illich affiliated with any hospitals?

According to CMS data, Jesse Illich is affiliated with Watauga Medical Center.

When was this NPI record last updated?

The NPPES record for Jesse Illich was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.