Jenna Beebe, PA-C
Physician Assistant, Medical in Statesville, NC. Individual provider (NPI-1).
NPI number1780540682
StatusActive
Last updated in NPPESJan 12, 2026
Details
- NPI
- 1780540682
- Entity type
- Individual (NPI-1)
- Name
- Jenna Beebe
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2026
- Certification date
- Jan 12, 2026
- Last updated
- Jan 12, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 001015787 | NC | Yes |
Practice location
1405 Fern Creek DrStatesville, NC 28625-9376
Phone 704-659-7866 · Fax 877-881-8455
Mailing address
143 Langtree Shore Dr Apt 201Mooresville, NC 28117-8736
Other practice locations
9930 Kincey Ave Ste 165
Huntersville, NC 28078-6541
Huntersville, NC 28078-6541
Phone 704-659-7850 · Fax 877-881-8455
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Medical Physician Assistant providers in Statesville, NC
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All 9 Medical Physician Assistant providers in Statesville · All 1,812 providers in Statesville
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