NPIMap

Individual provider Active NPI

Jillian Herma Van Essendelft, PA

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1083209217
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11260 Issued in NC
Practice address
3237 Blue Ridge Rd
Raleigh, NC 27612-8010
Phone
(919) 781-7500
NPI assigned
Mar 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-11260 NC Primary

Addresses

Primary practice location

3237 Blue Ridge Rd
Raleigh, NC 27612-8010

Mailing address

3237 Blue Ridge Rd
Raleigh, NC 27612-8010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jvanessendelft@wakeinternalmedicine.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210910002803 NC Practitioner - Physician Assistant 2567868813 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Wake Internal Medicine Consultants, Inc.Group PAC ID 9537144027, 42 clinicians

Practice addresses (Care Compare)

3100 Blue Ridge Rd
Suite 300
Raleigh, NC 27612-8002
Phone (919) 781-7515

3237 Blue Ridge Rd
Raleigh, NC 27612-8010
Phone (919) 781-7500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network, Inc CurrentSince Sep 27, 2021 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Sep 27, 2021 Accepting new patients
Carolinas Medical Center CurrentSince Sep 27, 2021 Accepting new patients
Matrix Occupational Health P.C. CurrentSince Aug 31, 2022 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Sep 27, 2021 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 27, 2021 Accepting new patients
Carolinas Medical Center CurrentSince Sep 27, 2021 Accepting new patients
Raleigh Emergency Surgical, Inc PastSince Nov 17, 2024 Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

1110 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 481-0277

1025 Morehead Medical Dr
Ste 300
Charlotte, NC 28204
Phone (704) 355-1813

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

101 E Wt Harris Blvd
Ste 5500A
Charlotte, NC 28262
Phone (704) 863-1520

1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255

200 Medical Park Dr
Ste 430
Concord, NC 28025
Phone (704) 403-5890

Interoperability endpoints

  • Direct secure messaging: jvanessendelft690939@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1083209217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 BLUE RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 BLUE RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128010",
            "telephone_number": "919-781-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ESSENDELFT",
        "first_name": "JILLIAN",
        "middle_name": "HERMA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvanessendelft@wakeinternalmedicine.com",
            "affiliation": "N",
            "address_1": "3237 Blue Ridge Rd",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276128010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.