Jessica Vanetesse, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA057163 Issued in PA

Practice address

264 Granite Run Dr
Lancaster, PA 17601-6804

Phone

(717) 721-8205

Fax

(717) 721-8251

NPI assigned

Sep 18, 2014

Last updated

Jul 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225
• Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jvanetesse246574@wellspan.direct-ci.com

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.

• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment Care Compare group
• Wellspan Medical Group

  dba WellSpan Pediatric Surgical Specialist

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  dba WellSpan Family Medicine - Stiegel Pike

  • Family Medicine Physician
  • Schaefferstown, PA
  • NPI 1942998356
  NPD
• Premier Immediate Medical Care, LLC

  • Urgent Care Clinic/Center
  • Exton, PA
  • NPI 1821040890
  NPD (past)
• Wellspan Medical Group

  dba Wellspan Nephrology

  • Nephrology Physician
  • York, PA
  • NPI 1821159021
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ephrata Community Hospital

  dba WellSpan Ephrata Community Hospital

  • General Acute Care Hospital
  • Ephrata, PA
  • NPI 1083615587
  Care Compare affiliation
• Ephrata Community Hospital

  • General Acute Care Hospital
  • Ephrata, PA
  • NPI 1558558064
  Care Compare affiliation
• Ephrata Community Hospital

  dba Ephrata Hospitalist Group

  • Hospitalist Physician
  • Ephrata, PA
  • NPI 1700023041
  Care Compare affiliation
• Ephrata Community Hospital-Spu

  dba WellSpan Ephrata Community Hospital

  • Clinic/Center
  • Ephrata, PA
  • NPI 1548423684

  Hospital

  Care Compare affiliation
• Lancaster General Hospital

  • General Acute Care Hospital
  • Lancaster, PA
  • NPI 1104875103
  Care Compare affiliation
• Lancaster General Hospital

  dba Parkesburg Outpatient Center

  • General Acute Care Hospital
  • Parkesburg, PA
  • NPI 1245571942
  Care Compare affiliation
• Lancaster General Hospital

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1538290424

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1508268707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-721-8205",
            "fax_number": "717-721-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 GRANITE RUN DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016804",
            "telephone_number": "717-721-8205",
            "fax_number": "717-721-8251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13911 St Francis Blvd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231143256",
            "country_code": "US",
            "telephone_number": "804-320-3999",
            "fax_number": "804-323-9383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANETESSE",
        "first_name": "JESSICA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": "OA003392",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004917",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": "MA057163",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Erin Van Tassel, MA, CCC/SLP
• Jennifer Anne Vanblargan, CRNP
• Cristina Grace Vanbrocklin, OTR/L
• Samantha Vanbuskirk, LCSW
• Julie Ann Vance, CRNP
• Jasmine Vang, MA
• Shenaye Vanwyngarden
• Yidrisca Maria Vargas-Mirabal, PA-C
• Lorena Vargas
• Christopher Paul Vargo, CRNP

• Medical Physician Assistant in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.