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Jillian P Vitale , PA-C

Physician Assistant β€’ Worcester, MA

Active NPI 1699269001 Individual Practitioner Female Practitioner
Practice location in NPPES

119 Belmont St
Worcester, MA 016052903

Call 5083346206 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

119 Belmont St

Worcester, MA 016052903

Telephone 5083346206
Fax 5083346083
Organization at the Same NPPES Address or Phone
Coordinated Primary Care, Inc. Facility NPI 1649241019

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Hartford, CT. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jillian Vitale has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jillian Vitale as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Worcester and Massachusetts

425 active clinicians are listed under Physician Assistant with a practice address in Worcester, MA (4,715 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Worcester

15.8% of these 425 clinicians have the CMS telehealth indicator.

69.4% of these 425 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MA PA6619

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES CT 4261

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20221117002062

Enrollment State Jurisdiction

MA

PECOS Control ID

5890049985

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

282 Washington St

Hartford, CT 061063322

Phone: 8605458950

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Katherine Harkin , PA-C

Physician Assistant

NPI 1528490018

Physician Assistant (Certified)

Kaleigh O'neil , FNP-BC

Nurse Practitioner - Family

NPI 1831765296

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location September 02, 2022

Registered at 119 BELMONT ST, WORCESTER, MA 016052903 (Tel: 5083346206)

πŸ“
Updated Business Mailing Address September 02, 2022

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

πŸ‘€
Provider Name / Credentials Updated September 02, 2022

Recorded as JILLIAN VITALE, PA-C

πŸ“
Updated Practice Location October 01, 2018

Registered at 282 WASHINGTON ST, HARTFORD, CT 061063322 (Tel: 8605458950)

πŸ“
Updated Business Mailing Address October 01, 2018

Registered at 5 SAGAMORE LN UNIT 105, ROCKY HILL, CT 060673840 (Tel: 9787662064)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2018

Physician Assistant (license number reported to NPPES: CT 4261)

βœ…
NPI Profile Active June 19, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 19, 2018

Registered at 11 CRESTLINE CIR, DANVERS, MA 01923 (Tel: 9787662064)

πŸ“
Business Mailing Address (Initial Record) June 19, 2018

Registered at 11 CRESTLINE CIR, DANVERS, MA 019233503 (Tel: 9787662064)

πŸ‘€
Provider Name / Credentials (Initial Record) June 19, 2018

Recorded as JILLIAN BOUCHARD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2018

Physician Assistant

🟒
Initial NPI Registration & Enumeration June 19, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699269001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2018
Last Update: September 23, 2022
Sole Proprietor: No

Other Physician Assistants in Worcester

All Physician Assistants in Worcester

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.