CLARISSA JUSTICE BARTOLAC PA
NPI 1881307981
Physician Assistant in Raleigh, NC

Q: What is Clarissa Bartolac's NPI number?

The NPI number for Clarissa Bartolac is 1881307981. It was assigned to this individual provider in the NPPES registry on January 4, 2023.

Q: What is Clarissa Bartolac's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clarissa Bartolac was last updated on July 1, 2024. 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.

Active since January 04, 2023PECOS EnrolledAccepts Medicare Assignment

3000 NEW BERN AVE, RALEIGH, NC 27610(919) 350-7000 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 1, 2024, Jan 4, 2023 (2 updates tracked since 2023).

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About Clarissa Justice Bartolac Pa NPPES

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

CLARISSA JUSTICE BARTOLAC PA (NPI 1881307981) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-13859) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and maintains a secondary practice location in Lillington.

NPPES Registry Identity

NPI1881307981

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCLARISSA JUSTICE BARTOLACCredential: PA

Location Address3000 NEW BERN AVERaleigh, NC 27610-1231

Mailing Address5220 Greens Dairy RdRaleigh, NC 27616-4612 · (919) 503-4456

Phone(919) 350-7000

Sole ProprietorNo

Medical School CMSCampbell Univ School Of Osteopathic MedicineGraduated 2023

Enumeration DateJanuary 4, 2023

Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration

NPPES CertifiedJuly 1, 2024

✔ NPI 1881307981 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 · 0010-13859

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3000 NEW BERN AVE, Raleigh, NC 27610

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Secondary Practice Location 1

Location 14350 US 421 SLillington, NC 27546-6760 · Phone (910) 893-1210

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Clarissa Justice Bartolac Pa 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 ID1658812938

PECOS Enrollment IDI20240926002419

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.

Hospital Affiliations CMS Care Compare 3

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

Wilson Medical Center

Acute Care Hospitals · Wilson, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340126

Location1705 S Tarboro StWilson, NC 27893 · Wilson 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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 20

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

JILL M PAPPALARDI M.D.

Hospitalist