Individual provider Active NPI

Jessica M Sekelski, PA

  • Physician Assistant
  • Clyde, NC
National Provider Identifier
1740520121
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
107 Haywood Park Dr
Clyde, NC 28721-4405
Phone
(828) 237-8001
Fax
(828) 237-8002
NPI assigned
Feb 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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 Primary
Medical Physician Assistant 363AM0700X 0010-03911 NC

Addresses

Primary practice location

107 Haywood Park Dr
Clyde, NC 28721-4405

Mailing address

107 Haywood Park Dr
Clyde, NC 28721-4405
Phone (828) 237-8001

Other practice location 1

57 Howard Gap Rd
Fletcher, NC 28732-9560
Phone (828) 483-4330

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
I20150323000656 NC Practitioner - Physician Assistant 0941527477 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Envision Pain Management PLLCGroup PAC ID 2961836713, 7 clinicians

Practice addresses (Care Compare)

107 Haywood Park Dr
Clyde, NC 28721-4405
Phone (828) 237-8001

237 Longvue Dr
Suite a
Boone, NC 28607-5070
Phone (828) 237-8001

9 Edgewood Ave
Franklin, NC 28734-6253
Phone (828) 237-8001

Hospital & facility affiliations

  • Haywood Regional Medical Center Hospital, Clyde, NC, CCN 340184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-03911NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pardee Neurology Associates CurrentSince Mar 15, 2016 Accepting new patients
Envision Pain Management PLLC Pain Medicine CurrentSince Jun 1, 2020 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince May 4, 2020 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince May 4, 2020 Accepting new patients
Henderson County Hospital Corporation CurrentSince Mar 15, 2016 Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

237 Longvue Dr
Ste A
Boone, NC 28607
Phone (828) 237-8001

87 Medical Park Dr
Brevard, NC 28712
Phone (828) 237-8001

107 Haywood Park Dr
Clyde, NC 28721
Phone (828) 237-8001

57 Howard Gap Rd
Fletcher, NC 28732
Phone (828) 483-4330

9 Edgewood Ave
Franklin, NC 28734
Phone (828) 237-8001

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

78 Broad St
Spruce Pine, NC 28777
Phone (800) 624-6575

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

Interoperability endpoints

  • Direct secure messaging: jessica.sekelski.1@25542.direct.athenahealth.com

Organizations & group practices 8

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.

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": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1740520121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HAYWOOD PARK DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287214405",
            "telephone_number": "828-237-8001",
            "fax_number": "828-237-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HAYWOOD PARK DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287214405",
            "telephone_number": "828-237-8001",
            "fax_number": "828-237-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Howard Gap Rd",
            "address_purpose": "LOCATION",
            "city": "Fletcher",
            "state": "NC",
            "postal_code": "287329560",
            "country_code": "US",
            "telephone_number": "828-483-4330",
            "fax_number": "828-483-5417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEKELSKI",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-22",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-03911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, NC

Sources for this page

Verify at the official NPI Registry.