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

Jessica Vanetesse, PAC

Individual provider Physician Assistant · NPI 1508268707

Jessica Vanetesse, PAC is a Physician Assistant in Lancaster, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania and Virginia.

Years since qualifying
12
Licensed in
PA, VA
In the registry since
2014
Specialties on file
4
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

264 Granite Run Dr
Lancaster, PA 17601-6804
Phone: (717) 721-8205
Fax: (717) 721-8251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13911 St Francis Blvd, Midlothian, VA 23114-3256 — (804) 320-3999

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA057163 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA003392
Physician Assistant Taxonomy 363A00000X · Licence 0110004917 (VA)
Physician Assistant Taxonomy 363A00000X · Licence MA057163

Record details

NPI number1508268707
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 18, 2014
Last updated in NPPESJuly 6, 2020
Certification dateJuly 6, 2020
Mailing address3421 Concord Rd, York, PA 17402-9001

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 Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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