Jennie L Kowaleski, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103546 Issued in NC

Practice address

3100 Blue Ridge Rd
Ste. 103
Raleigh, NC 27612-8036

Phone

(919) 719-2250

Fax

(919) 719-2248

NPI assigned

Jan 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Apex Medical Center PC

  • Family Medicine Physician
  • Apex, NC
  • NPI 1285665455
  NPD (past)
• Prescription Urgent Care, PA

  • Urgent Care Clinic/Center
  • Raleigh, NC
  • NPI 1871570929
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1982675260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BLUE RIDGE RD",
            "address_2": "STE. 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128036",
            "telephone_number": "919-719-2250",
            "fax_number": "919-719-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 BLUE RIDGE RD",
            "address_2": "STE. 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128036",
            "telephone_number": "919-719-2250",
            "fax_number": "919-719-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALESKI",
        "first_name": "JENNIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "103546",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katharine Denues Kovacs, PA
• Miranda A Kovacs
• Tricia Kovacs
• Courtney Koppenal Kovalick, PA-C
• Tatiana Kovtoun, MD
• Dylan Joseph Kowalewski, PA
• Kaitlynn Donovan Kowalick, DPT
• Brooke Sandra Kowalski, MSW, LCSWA
• Maria Kowalsky
• Mark Franklin Kozacko, DDS PA

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, 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 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.