Active NPI
J'Nelle Beth Harvey Ruscetti, P.A.
- Physician Assistant
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 102743
- Practice address
- 5211 S College Rd
Wilmington, NC 28412-2209 - Phone
- (910) 772-6290
- Fax
- (910) 341-3429
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 102743 | NC | Primary |
Addresses
Primary practice location
5211 S College Rd
Wilmington, NC 28412-2209
Mailing address
1202 Medical Center Dr
Wilmington, NC 28401-7307
Phone (910) 341-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00097319 | Other | NC | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
1000 Brabham LN
Jacksonville, NC 28546-5003
Phone (910) 341-1540
1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540
1222 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540
1300 Bridge Barrier Rd
Suite 2
Carolina Beach, NC 28428-3939
Phone (910) 341-1540
2421 Silver Stream LN
Wilmington, NC 28401-7684
Phone (910) 341-1540
2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600
4320 Henson Dr
Wilmington, NC 28405-7424
Phone (910) 341-1540
5211 S College Rd
Wilmington, NC 28412-2209
Phone (910) 341-1540
6781 Parker Farm Dr
Suite 200
Wilmington, NC 28405-3161
Phone (910) 341-1540
8108 B Market St
Wilmington, NC 28411-9386
Phone (910) 341-1540
8114 Market St
Suite 200
Wilmington, NC 28411-9386
Phone (910) 341-1540
9101 Ocean Hwy E
Leland, NC 28451-7867
Phone (910) 341-1540
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmington Health PLLC | Current | Accepting new patients | |
| Wha Medical Clinic PLLC | Current | Accepting new patients | |
| Pender Memorial Hospital, Incorporated | Past | Accepting new patients |
Locations
1300 Bridge Barrier Rd
Ste 2
Carolina Beach, NC 28428
Phone (910) 458-4101
1333 S Dickinson Dr
Leland, NC 28451
Phone (910) 332-0241
2511 Delaney Ave
Wilmington, NC 28403
Phone (910) 667-9328
8108 Market St
#B
Wilmington, NC 28411
Phone (910) 686-2099
8064 Market St
Wilmington, NC 28411
Phone (910) 796-7767
4316 Henson Dr
Wilmington, NC 28405
Phone (910) 395-1585
5211 College Rd S
Wilmington, NC 28412
Phone (910) 772-6290
1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705
Interoperability endpoints
- jnelle.ruscetti.p1@direct.wilmingtonhealth.nextgenshare.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Wilmington, NC
- NPI 1881632339
-
- Endoscopy Clinic/Center
- Wilmington, NC
- NPI 1083889091
-
dba Novant Health Pender Medical Center
- Critical Access Hospital
- Burgaw, NC
- NPI 1295703130
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health New Hanover Regional Medical Center
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1730275793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017307",
"telephone_number": "910-341-3300",
"fax_number": "910-251-8824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5211 S COLLEGE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122209",
"telephone_number": "910-772-6290",
"fax_number": "910-341-3429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSCETTI",
"first_name": "J'NELLE",
"middle_name": "BETH HARVEY",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "102743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00097319",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.