Jenna Hester, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-14573 Issued in NC

Practice address

509 Olde Waterford Way Ste 103
Leland, NC 28451-4126

Phone

(910) 631-0301

Fax

(910) 292-1230

NPI assigned

Jul 6, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intracoastal Dermatology and Skin Surgery PLLCGroup PAC ID 3678924693, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Intracoastal Dermatology and Skin Surgery PLLC

  • Dermatology Physician
  • Leland, NC
  • NPI 1871375055
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1720224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1932945276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLDE WATERFORD WAY STE 103",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514126",
            "telephone_number": "910-631-0301",
            "fax_number": "910-292-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLDE WATERFORD WAY STE 103",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514126",
            "telephone_number": "910-631-0301",
            "fax_number": "910-292-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTER",
        "first_name": "JENNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-06",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthcare Business Reps LLC
• Healthsource of Leland, PLLC
• Healthy Back, Inc. (Cromshaw Chiropractic Center)
• Sara Beth Henderson, PTA
• Amanda B Hendrix, O.D.
• High Tide Chiropractic PLLC
• Allison Sandra Hindt, PA-C
• Connie Deann Hinnant, FNP
• Scott Robert Hitter, PA
• Clinton Tyler Hobbs, AGPCNP-C

• Physician Assistant in Leland, NC
• Providers in Leland, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.