Individual provider Active NPI

Jacob Sterry, PA-C

  • Physician Assistant
  • New Bern, NC
National Provider Identifier
1114647120
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1301 McCarthy Blvd Ste B
New Bern, NC 28562-2033
Phone
(252) 649-2728
NPI assigned
Aug 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 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 Primary

Addresses

Primary practice location

1301 McCarthy Blvd Ste B
New Bern, NC 28562-2033

Mailing address

1301 McCarthy Blvd Ste B
New Bern, NC 28562-2033
Phone (252) 649-2728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20231218001966 NC Practitioner - Physician Assistant 0042684664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Olive Tree Family Counseling, PLLCGroup PAC ID 3274979612, 11 clinicians

Practice addresses (Care Compare)

1301 McCarthy Blvd
Suite B
New Bern, NC 28562-2033
Phone (252) 649-2728

14180 NC Hwy 55
Bayboro, NC 28515-9111
Phone (252) 649-2728

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Laurel Dermatology, PLLC CurrentSince Nov 5, 2023 Accepting new patients
Family Care Center, LLC Physician Assistant PastSince Sep 1, 2022 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1114647120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MCCARTHY BLVD STE B",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622033",
            "telephone_number": "252-649-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MCCARTHY BLVD STE B",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622033",
            "telephone_number": "252-649-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERRY",
        "first_name": "JACOB",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-30",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.