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

Individual provider Physician Assistant · NPI 1215405535

Jessica Draper, PA-C is a Physician Assistant in Glendale, Arizona. Qualified in 2018, 8 years ago. Practices with Counseling Center of West Michigan LLC, a 151-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
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

17505 N 79th Ave Ste 407
Glendale, AZ 85308-8732
Phone: (623) 321-2221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1215405535
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 5, 2018
Last updated in NPPESSeptember 1, 2022
Certification dateSeptember 1, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Counseling Center Of West Michigan Llc — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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