Active NPI
Jessica A Wright, PA-C
- Physician Assistant
- Fuquay Varina, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-09610
- Practice address
- 1418 N Main St
Fuquay Varina, NC 27526-8901 - Phone
- (919) 552-1733
- Fax
- (919) 552-1495
- NPI assigned
- Jan 3, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 0010-09610 | NC | Primary |
Addresses
Primary practice location
1418 N Main St
Fuquay Varina, NC 27526-8901
Mailing address
3500 Boston St Ste J1
Baltimore, MD 21224-5723
Other practice location 1
3500 Boston St
Suite J1
Baltimore, MD 21224-5251
Phone (410) 522-0001
Other practice location 2
4100 Wake Forest Rd
Raleigh, NC 27609-6227
Phone (373) 872-3959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11491 Clayton Blvd
Clayton, NC 27520-2207
Phone (919) 560-2484
11491 US 70 Business Hwy W
Clayton, NC 27520-2207
Phone (919) 550-2484
1418 N Main St
Fuquay Varina, NC 27526-8901
Phone (919) 552-1733
7010 NC Hwy 751
Durham, NC 27707-5733
Phone (919) 313-3900
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.09 of 100
- Quality
- 65.78
- Improvement activities
- 40
- Cost
- 76.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-09610 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Physician Services of Maryland, PC | Physician Assistant | Current | Accepting new patients |
| Matrix Occupational Health P.C. | Current | Accepting new patients | |
| Fastmed Primary Care, P.C. | Past | Accepting new patients |
Locations
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
1110 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 481-0277
4100 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 872-3959
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Durham, NC
- NPI 1629841788
-
dba NextCare Urgent Care
- Urgent Care Clinic/Center
- Fayetteville, NC
- NPI 1144279670
-
- Physician Assistant
- Baltimore, MD
- NPI 1174632376
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1912774423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1902100134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 BOSTON ST STE J1",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212245723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 N MAIN ST",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275268901",
"telephone_number": "919-552-1733",
"fax_number": "919-552-1495"
}
],
"practiceLocations": [
{
"address_1": "3500 Boston St",
"address_2": "Suite J1",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212245251",
"country_code": "US",
"telephone_number": "410-522-0001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4100 Wake Forest Rd",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276096227",
"country_code": "US",
"telephone_number": "373-872-3959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "JESSICA",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-03",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-09610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.