JESSICA ELY PRUE PA-C
NPI 1871103382
Physician Assistant - Surgical in Raleigh, NC

Q: What is Jessica Prue's NPI number?

The NPI number for Jessica Prue is 1871103382. It was assigned to this individual provider in the NPPES registry on August 10, 2020.

Q: What is Jessica Prue's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Prue was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 10, 2020PECOS EnrolledAccepts Medicare Assignment

3009 NEW BERN AVE, RALEIGH, NC 27610(919) 232-5020(919) 232-5021 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 28, 2026, Aug 6, 2025, Oct 3, 2022 and 1 more (4 updates tracked since 2020).

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About Jessica Ely Prue Pa-c NPPES

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

JESSICA ELY PRUE PA-C (NPI 1871103382) is an individual surgical provider in Raleigh, North Carolina, licensed in North Carolina (0010-12366) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1871103382

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJESSICA ELY PRUECredential: PA-C

Location Address3009 NEW BERN AVERaleigh, NC 27610-1214

Mailing AddressPo Box 603949Charlotte, NC 28260-3949 · (919) 350-2266

Phone(919) 232-5020

Fax(919) 232-5021

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 10, 2020

Last NPPES UpdateApril 28, 20264 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1871103382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NC · 0010-12366

Also ListedPhysician AssistantTaxonomy 363A00000X · License 0010-12366 (NC)

3009 NEW BERN AVE, Raleigh, NC 27610

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Other Identifiers 1

Medicaid1871103382NC

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

Jessica Ely Prue Pa-c 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 ID648690693

PECOS Enrollment IDI20221015000264

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 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

344 services48 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

101 services76 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

36 services28 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

32 services26 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

23 services20 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340069

Location3000 New Bern AveRaleigh, NC 27610 · Wake County

Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340173

Location1900 Kildare Farm RoadCary, NC 27518 · Wake County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

KURT J EHLERT M.D.

Orthopaedic Surgery