Individual provider Active NPI

Jennifer Lynn Voss, PA-C

  • Physician Assistant
  • Matthews, NC
National Provider Identifier
1386360410
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14245 Issued in NC
Practice address
9600 E Independence Blvd Ste B
Matthews, NC 28105-4628
Phone
(704) 815-5624
Fax
(704) 815-5621
NPI assigned
Oct 19, 2022
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 029029 NY
Physician Assistant 363A00000X 0010-14245 NC Primary

Addresses

Primary practice location

9600 E Independence Blvd Ste B
Matthews, NC 28105-4628

Mailing address

PO Box 601843
Charlotte, NC 28260-1843
Phone (704) 815-5624

Other practice location 1

2310 Hempstead Tpke
East Meadow, NY 11554-2035
Phone (516) 531-6492

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
I20240826003133 NC Practitioner - Physician Assistant 6800267501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

9600 E Independence Blvd
Suite B
Matthews, NC 28105-4628
Phone (704) 815-5624

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029029NYMDSpeech-Language Pathologist
0010-14245NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Medicorp Enterprises, LLC Urgent Care CurrentSince Oct 10, 2025 Accepting new patients
Carolina Medicorp Enterprises, LLC Urgent Care CurrentSince Oct 10, 2025 Accepting new patients
Carolina Medicorp Enterprises Inc Past Accepting new patients
Hicksville Family Medical Care, PLLC Past Accepting new patients
A.P. New York Comprehensive Medical Care PC PastSince Oct 1, 2022 Accepting new patients

Locations

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

5870 Samet Dr
High Point, NC 27265
Phone (336) 803-7311

9600 E Independence Blvd
#B
Matthews, NC 28105
Phone (704) 815-5624

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

Interoperability endpoints

  • Direct secure messaging: jvoss1737411@direct.novanthealth.org
  • Direct secure messaging: jvoss2900030@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1386360410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843",
            "telephone_number": "704-815-5624",
            "fax_number": "704-815-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 E INDEPENDENCE BLVD STE B",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054628",
            "telephone_number": "704-815-5624",
            "fax_number": "704-815-5621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 Hempstead Tpke",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115542035",
            "country_code": "US",
            "telephone_number": "516-531-6492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOSS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "029029",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.