Individual provider Active NPI

Jessielyn Woolbright, PA-C

  • Physician Assistant
  • Orange, CA
National Provider Identifier
1962868596
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7755 Issued in AZ
Practice address
770 The City Dr S
Suite 8000
Orange, CA 92868-4900
Phone
(800) 463-6628
NPI assigned
Jan 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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 PA1701 NV
Physician Assistant 363A00000X 7755 AZ Primary

Addresses

Primary practice location

770 The City Dr S
Suite 8000
Orange, CA 92868-4900

Mailing address

2944 N 82ND St
Scottsdale, AZ 85251-5830
Phone (302) 858-8196

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jwoolbright@honorhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200211002799 AZ Practitioner - Physician Assistant 2567470685 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth CurrentSince Jul 25, 2023 Accepting new patients
Scottsdale Emergency Associates, LTD. Physician Assistant CurrentSince Jan 1, 2020 Accepting new patients
Honorhealth CurrentSince Jul 25, 2023 Accepting new patients

Locations

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110

Interoperability endpoints

  • Direct secure messaging: jwoolbright@honorhealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1962868596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 N 82ND ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515830",
            "telephone_number": "302-858-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 THE CITY DR S",
            "address_2": "SUITE 8000",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684900",
            "telephone_number": "800-463-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLBRIGHT",
        "first_name": "JESSIELYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1701",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jwoolbright@honorhealth.com",
            "affiliation": "N",
            "address_1": "7400 E Osborn Rd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852516432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.