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

Jessica D Van Wulven, PA-C

Individual provider Physician Assistant · NPI 1457758815

Jessica D Van Wulven, PA-C is a Physician Assistant in Wasilla, Alaska. Qualified in 2014, 12 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
12
Licensed in
AK
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3765 E Blue Lupine Dr Ste D
Wasilla, AK 99654
Phone: (907) 707-1671
Fax: (907) 707-1675
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 950 E Bogard Rd Ste 103, Wasilla, AK 99654-7184 — (907) 352-2880

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PADA1218 (AK)
Physician Assistant Taxonomy 363A00000X · Licence 2365 (AK)

Record details

NPI number1457758815
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 1, 2014
Last updated in NPPESFebruary 2, 2024
Certification dateDecember 5, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Wasilla