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Justine Joann Vitetta , PA-C

Physician Assistant β€’ Worcester, MA

Active NPI 1033666284 Individual Practitioner Female Practitioner
Practice location in NPPES

55 Lake Ave N
Worcester, MA 016550002

Call 5083342128 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

55 Lake Ave N

Worcester, MA 016550002

Telephone 5083342128
Fax 7744432043
Organization at the Same NPPES Address or Phone
Umass Memorial Medical Center Facility NPI 1679574933

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 Providence, RI. 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

2016

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)

Justine Vitetta 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 Justine Vitetta 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: 2026-03-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MA PA9397

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 - Medical

NUCC Taxonomy Code: 363AM0700X

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

I20230629000333

Enrollment State Jurisdiction

MA

PECOS Control ID

3476945395

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

593 Eddy St, Neuro Icu

Providence, RI 029034923

Phone: 4014444000

Clinicians Sharing This Practice Address or Phone

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

40 listed
Amarys Abadie , CRNA

Nurse Anesthetist, Certified Registered

NPI 1992936843

Certified Registered Nurse Anesthetist

Aly Abayazeed

Radiology - Diagnostic Radiology

NPI 1821221946
Zainab Abbas

Dermatology

NPI 1609028000
Dr. Mary-Alice Abbott , MD

Medical Genetics - Clinical Genetics (M.D.)

NPI 1982799417

Doctor of Medicine (M.D.)

Elizabeth Abbruzzese , NP

Nurse Practitioner

NPI 1326645300

Nurse Practitioner

NPI 1720630775

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
πŸ‘€
Provider Name / Credentials Updated March 26, 2026

Recorded as JUSTINE VITETTA, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2026

Physician Assistant (license number reported to NPPES: MA PA9397)

πŸ“
Updated Practice Location May 10, 2023

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083342128)

πŸ“
Updated Business Mailing Address May 10, 2023

Registered at PO BOX 415348, BOSTON, MA 022415348

βœ…
NPI Profile Active September 06, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 06, 2016

Registered at 593 EDDY ST, NEURO ICU, PROVIDENCE, RI 029034923 (Tel: 4014444000)

πŸ“
Business Mailing Address (Initial Record) September 06, 2016

Registered at 18 CAESAR WAY, PITTSBURGH, PA 152032404 (Tel: 5172949419)

πŸ‘€
Provider Name / Credentials (Initial Record) September 06, 2016

Recorded as JUSTINE MIXTER, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2016

Physician Assistant

🟒
Initial NPI Registration & Enumeration September 06, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1033666284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2016
Last Update: March 26, 2026
Sole Proprietor: No

Other Physician Assistants in Worcester

All Physician Assistants in Worcester

Mailing Address

Po Box 415348

Boston, MA 022415348

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.