Individual provider Active NPI

Jessica Jordan Bursey, PA-C

  • Physician Assistant
  • Olympia, WA
National Provider Identifier
1447893045
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09491 Issued in NC
Practice address
1200 Cooper Point Rd SW Ste 100
Olympia, WA 98502-1172
Phone
(360) 596-4800
Fax
(360) 596-4801
NPI assigned
Oct 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 60990181 WA
Physician Assistant 363A00000X 0010-09491 NC Primary

Addresses

Primary practice location

1200 Cooper Point Rd SW Ste 100
Olympia, WA 98502-1172

Mailing address

1200 Cooper Point Rd SW Ste 100
Olympia, WA 98502-1172
Phone (360) 596-4800

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200331000731 WA Practitioner - Physician Assistant 3476982216 Reassigns benefits to 1 organization
I20230830004077 NC Practitioner - Physician Assistant 3476982216 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murphy Medical Center IncGroup PAC ID 7416856547, 70 clinicians
Sunrise Vascular CenterGroup PAC ID 0840543922, 9 clinicians

Practice addresses (Care Compare)

145 Medical Park LN
Murphy, NC 28906-6663
Phone (828) 837-7708

145 Medical Park LN I
Murphy, NC 28906-6663
Phone (828) 837-3897

146 Hwy 64 E
Hayesville, NC 28904-7300
Phone (828) 389-3608

1879 Old 421
Boone, NC 28607-6293
Phone (919) 589-6968

75 Medical Park LN
Suite a
Murphy, NC 28906-6673
Phone (919) 589-6968

821 S Horner Blvd
Suite B
Sanford, NC 27330-5343
Phone (919) 589-6968

Hospital & facility affiliations

  • Erlanger Murphy Medical Center Hospital, Murphy, NC, CCN 341328

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60990181WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Apr 27, 2020 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Apr 27, 2020 Accepting new patients
Murphy Medical Center, Inc. Family CurrentSince Jan 2, 2024 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Jun 12, 2023 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Jun 12, 2023 Accepting new patients
Murphy Medical Center, Inc. CurrentSince Jan 2, 2024 Accepting new patients
Mission Community Anesthesiology Specialists LLC Past Accepting new patients

Locations

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

190 Riverview St
Franklin, NC 28734
Phone (828) 349-6800

3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939

145 Medical Park Ln
Ste L
Murphy, NC 28906
Phone (828) 349-3376

75 Medical Park Ln
Ste D
Murphy, NC 28906
Phone (828) 835-4741

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: jbursey237530@ghc.direct-ci.net

Organizations & group practices 17

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 17

Hospital & facility affiliations 1

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": "1572048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1447893045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 COOPER POINT RD SW STE 100",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021172",
            "telephone_number": "360-596-4800",
            "fax_number": "360-596-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 COOPER POINT RD SW STE 100",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021172",
            "telephone_number": "360-596-4800",
            "fax_number": "360-596-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSEY",
        "first_name": "JESSICA",
        "middle_name": "JORDAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-26",
        "last_updated": "2023-06-07",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "60990181",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1200 Cooper Point Rd SW Ste 100",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985021172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.