JESSICA D VAN WULVEN (PA-C) – Medical Physician Assistant, NPI 1457758815
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
551 PHYSICIAN ASSISTANT in AK
Provider Addresses for JESSICA D VAN WULVEN (PA-C)
3765 E. BLUE LUPINE DR. STE D
WASILLA, AK 99654
Phone: (907) 707-1671
Fax: (907) 707-1675
Type: Mailing
2741 DEBARR RD
STE C406
ANCHORAGE, AK 995082980
Phone: (907) 230-1886
Fax: (907) 276-3679
Type: Mailing
4100 LAKE OTIS PKWY
SUITE 322
ANCHORAGE, AK 995085229
Phone: (907) 562-1234
Fax: (907) 561-8550
Type: Location
950 E Bogard Rd Ste 103
Wasilla, AK 996547184
Phone: (907) 352-2880
Fax: (907) 352-2885
Type: Location
PO BOX 689022
FRANKLIN, TN 370689022
Phone: (615) 465-7042
Fax: (615) 628-6877
Type: Mailing
5851 S KNIK GOOSE BAY RD
WASILLA, AK 996230012
Phone: (907) 864-1300
Fax: (907) 864-1305
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $295.
Total Amount is formed as General ($295) + Research ($0) + Ownership ($0) = $295.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($163).
Total Amount
$295
General + Research + Ownership
Payments
6
Total payment records
General Amount
$295
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $163 |
| Stryker Corporation | $113 |
| GlaxoSmithKline, LLC. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-03-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160315002847 | I | Physician Assistant | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 105 | 92 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 64 | 64 | $0 |
| 71046 | X-ray of chest, 2 views | 23 | 22 | $0 |
| 81003 | Automated urinalysis test | 23 | 22 | $0 |
Insurance plans in this area (ZIP 99654)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NC | |
| Physician Assistant | NC | |
| Internal Medicine | SC | |
| Orthopedic Surgery | MO | |
| - | CA | |
| Physical Therapist In Private Practice | MD | |
| Physician Assistant | NC | |
| Internal Medicine | TN | |
| Nurse Practitioner | AR | |
| - | CO |
Reviews
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