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JESSICA LEIGH ENGLISH PA
NPI 1922653336
Physician Assistant in Hendersonville, NC

Active since August 03, 2019PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
800 N JUSTICE ST, HENDERSONVILLE, NC 28791(828) 696-1000 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2022, Dec 6, 2019, Aug 3, 2019 (3 updates tracked since 2019).

About Jessica Leigh English Pa NPPES

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

JESSICA LEIGH ENGLISH PA (NPI 1922653336) is an individual physician assistant in Hendersonville, North Carolina, licensed in North Carolina (0010-13588) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Granville Health Systems, and maintains a secondary practice location in Sioux City.

NPPES Registry Identity

NPI1922653336
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA LEIGH ENGLISHCredential: PA
Location Address800 N JUSTICE STHendersonville, NC 28791-3410
Mailing Address3427 Platinum Point PlSioux Falls, SD 57108-5966 · (505) 373-9919
Phone(828) 696-1000
Sole ProprietorYes
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2019
Enumeration DateAugust 3, 2019
Last NPPES UpdateFebruary 22, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2024
✔ NPI 1922653336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NC · 0010-13588✔ Licensed in CT · 5912✔ Licensed in IA · 097935
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.
800 N JUSTICE ST, Hendersonville, NC 28791
Open in Google Maps ↗

Secondary Practice Location 1

Location 1801 5th StSioux City, IA 51101-1326 · Phone (712) 279-2010

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Medica, Oscar Insurance Company and more.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

Jessica Leigh English 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 ID6507290871
PECOS Enrollment IDI20231222002951
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
109 services51 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
30 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services12 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
20 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Granville Health Systems

Acute Care Hospitals · Oxford, NC
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340127
Location1010 College StOxford, NC 27565 · Granville County
Emergency services Birthing friendly

Haywood Regional Medical Center

Acute Care Hospitals · Clyde, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340184
Location262 Leroy George DriveClyde, NC 28721 · Haywood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28791 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$91.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BARTLETT DAVID STEEN MD
Family Medicine
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 694-4548
ANNA QUINN HARRELSON MD
Family Medicine
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
MARTIN S. LEMYRE MD
Internal Medicine
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
JOHN M THERIOT CRNA
Nurse Anesthetist, Certified Registered
800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
EDWARD ALAN LEWIS MD
Anesthesiology
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 694-4548
JEFFREY WAYNE YOUNGER CRNA
Nurse Anesthetist, Certified Registered
800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
PATHS OUTPATIENT SERVICES
Psychiatry & Neurology (Psychiatry)
800 N JUSTICE ST, BOX 38
HENDERSONVILLE, NC 28791
Henderson County (828) 696-4545
PIEDMONT HENDERSONVILLE ANESTHESIA CONSULTANTS PLLC
Anesthesiology
800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000

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 English's NPI number?

The NPI number for Jessica English is 1922653336. It was assigned to this individual provider in the NPPES registry on August 3, 2019.

Where is Jessica English located?

Jessica English practices at 800 N Justice St, Hendersonville, NC 28791. The listed phone number is (828) 696-1000.

What is Jessica English's specialty?

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

Is Jessica English enrolled in Medicare?

Yes. Jessica English 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 Jessica English accept?

Health plans from Blue Cross and Blue Shield of NC, Medica, Oscar Insurance Company and UnitedHealthcare list Jessica English 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 Jessica English affiliated with any hospitals?

According to CMS data, Jessica English is affiliated with Granville Health Systems and Haywood Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica English was last updated on February 22, 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.