Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Vande Loo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477087294

Jennifer Vande Loo is a Physician Assistant in Cary, North Carolina. Qualified in 2017, 9 years ago. Practices with Wakemed Specialists Group LLC, a 869-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

222 Ashville Ave
Cary, NC 27518-6130
Phone: (919) 859-1136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-07300 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477087294
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 18, 2017
Last updated in NPPESApril 14, 2021
Certification dateApril 14, 2021
Mailing address2920 Highwoods Blvd, Raleigh, NC 27604-0010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Wakemed Specialists Group Llc — 869 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cary