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

MS. Jacqueline Ellen Leyrer, PA

Individual provider Physician Assistant · NPI 1902415532

MS. Jacqueline Ellen Leyrer, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2020, 6 years ago. Practices with Dermatology Care of Charlotte PA, a 10-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

15830 Ballantyne Medical Pl
Charlotte, NC 28277-4653
Phone: (704) 341-0090
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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 0010-10302 (NC)

Record details

NPI number1902415532
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 29, 2020
Last updated in NPPESSeptember 4, 2023
Certification dateSeptember 4, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Dermatology Care Of Charlotte Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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