Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Anne Vanderwilp, PA-C

Individual provider Physician Assistant · NPI 1851763635

Jessica Anne Vanderwilp, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2015, 11 years ago. Practices with Sjhmc Physician Services, a 665-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona and Michigan.

Years since qualifying
11
Licensed in
AZ, MI
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (616) 391-1730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1727 W Frye Rd Ste 210, Chandler, AZ 85224-5298 — (480) 728-7564
  • 500 W Thomas Rd Ste 600, Phoenix, AZ 85013-4221 — (602) 406-1140

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6251 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 5601011525 (MI)

Record details

NPI number1851763635
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 20, 2015
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sjhmc Physician Services — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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