JESSE PHELPS (PA-C) – Medical Physician Assistant, NPI 1801670815

JESSE PHELPS (PA-C) is a healthcare provider. based in Wall township, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 25MP00804100 (NJ). The NPI Number for JESSE PHELPS (PA-C) is 1801670815

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JESSE PHELPS (PA-C)
NPI
1801670815
Phone
(732) 856-2378
Address
4701 MEGILL RD
Enumeration Date
21 August 2023
Last Update Date
2 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7329236500
Graduation Year
2023 (3 years ago)
PAC ID
5092209247
Group Practice PAC ID
0648172809
Professional Enrollment ID
I20251215001998
Address ID
NJ077406317LO75XXXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for JESSE PHELPS (PA-C)

  • 4701 MEGILL RD

    WALL TOWNSHIP, NJ 077536923

    Phone: (732) 856-2378

    Type: Mailing

  • 2391 HIGHWAY 36

    ATLANTIC HIGHLANDS, NJ 077162532

    Phone: (848) 488-2200

    Fax: (848) 300-5194

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $302.

Total Amount is formed as General ($302) + Research ($0) + Ownership ($0) = $302.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($69).

Total Amount

$302

General + Research + Ownership

Payments

17

Total payment records

General Amount

$302

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2025-12-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251215001998IPhysician AssistantNJTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07753)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648172809View full group profile

Reviews

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Frequently asked questions

Does JESSE PHELPS (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JESSE PHELPS (PA-C) uses 1801670815.
Can I rely on JESSE PHELPS (PA-C) being an active provider?
As of the registry snapshot, JESSE PHELPS (PA-C) is marked active.
What is JESSE PHELPS (PA-C)'s primary classification?
Medical Physician Assistant is the headline specialty for JESSE PHELPS (PA-C) here. Clinical services aligned with this taxonomy classification.
What area does JESSE PHELPS (PA-C) serve?
JESSE PHELPS (PA-C)'s listing highlights Wall Township, New Jersey; more addresses can appear in NPPES.
Why does JESSE PHELPS (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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