Jessica Thanh Vu, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA063050 Issued in PA

Practice address

500 University Dr
Hershey, PA 17033-2360

Phone

(717) 531-6822

Fax

(717) 531-4970

NPI assigned

Oct 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jessica T DO Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessicadopa@fpc.medentdirect.com

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.

• Family Practice Center, PC

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  Multi-Specialty

  Medicare reassignment NPD
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  • NPI 1710951744
  Medicare reassignment
• The Milton S Hershey Medical Center Physician Group

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  • NPI 1346215928

  Multi-Specialty

  NPD
• The Milton S Hershey Medical Center Physicians Group

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  • Hershey, PA
  • NPI 1306810411

  Multi-Specialty

  NPD
• The Milton S. Hershey Medical Center Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Hershey, PA
  • NPI 1255482089

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1083376024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DRIVE MC CA 410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-531-5208",
            "fax_number": "717-531-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-531-6822",
            "fax_number": "717-531-4970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 S FIRST STREET",
            "address_purpose": "LOCATION",
            "city": "MILLERSBURG",
            "state": "PA",
            "postal_code": "170611501",
            "country_code": "US",
            "telephone_number": "717-692-4834",
            "fax_number": "717-692-3678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "JESSICA",
        "middle_name": "THANH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1Y5546",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessicadopa@fpc.medentdirect.com",
            "affiliation": "Y",
            "affiliationName": "FAMILY PRACTICE CENTER, PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "100 S FIRST STREET",
            "city": "MILLERSBURG",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170611501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DO",
            "middle_name": "T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emma Jane Voigt
• Alexandra L Volovar, PA-C
• Danielle N Vonnieda, DO
• Yakov Vorobeychik, MD
• Morgan Alyssa Voulo, MD
• To-Nhu Vu, MD
• Tuan H Vu, MD
• Ramarao Vunnam, MD
• Sharon A Wachob, CNM
• Laura Elizabeth Wachowicz

• Physician Assistant in Hershey, PA
• Providers in Hershey, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.