Jessica Lynn Boettcher, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

PO Box 1090
Buies Creek, NC 27506-1090

Phone

(910) 893-1690

NPI assigned

Aug 24, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1306752811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 N KILCHATTAN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283064653",
            "telephone_number": "920-634-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "BUIES CREEK",
            "state": "NC",
            "postal_code": "275061090",
            "telephone_number": "910-893-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOETTCHER",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Thoms Moon Ameen
• Connie Lee Barnes, PHARMD
• Amy L Bauer, LCAS
• Samantha Bell, LCAS-A
• Michele Blegen
• Stephanie B. Bonds
• Tanner Bos
• Kathryn Paige Dickens Brown, PHARM.D.
• Rebecca Joy Brunson-Nsubuga, MFT-A
• Buies Creek Rural Fire Department Inc

• Physician Assistant in Buies Creek, NC
• Providers in Buies Creek, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.