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JENNY A PETITPAS PA
NPI 1043723539
Physician Assistant - Surgical in Cambridge, MA

Active since November 07, 2017PECOS Enrolled
330 MOUNT AUBURN ST DEPT OF, CAMBRIDGE, MA 02138(617) 499-5150(617) 499-5593 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2023, Nov 7, 2017 (2 updates tracked since 2017).

About Jenny A Petitpas Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNY A PETITPAS PA (NPI 1043723539) is an individual surgical provider in Cambridge, Massachusetts, licensed in Massachusetts (PA6270) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043723539
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJENNY A PETITPASCredential: PA
Location Address330 MOUNT AUBURN ST DEPT OFCambridge, MA 02138-5502
Mailing Address330 Mount Auburn St Dept OfCambridge, MA 02138-5502 · (617) 499-5150 · Fax (617) 499-5593
Phone(617) 499-5150
Fax(617) 499-5593
Sole ProprietorNo
Enumeration DateNovember 7, 2017
Last NPPES UpdateMay 17, 20232 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
✔ NPI 1043723539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MA · PA6270
330 MOUNT AUBURN ST DEPT OF, Cambridge, MA 02138
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenny A Petitpas Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GRACE JURGIEL DPM
Student in an Organized Health Care Education/Training Program
330 MOUNT AUBURN ST DEPT OF
CAMBRIDGE, MA 02138
Middlesex County (617) 492-3500
MICHELLE FAKLER M.D.
Surgery
330 MOUNT AUBURN ST DEPT OF
CAMBRIDGE, MA 02138
Middlesex County (617) 499-5719

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenny Petitpas's NPI number?

The NPI number for Jenny Petitpas is 1043723539. It was assigned to this individual provider in the NPPES registry on November 7, 2017.

Where is Jenny Petitpas located?

Jenny Petitpas practices at 330 Mount Auburn St Dept Of, Cambridge, MA 02138. The listed phone number is (617) 499-5150.

What is Jenny Petitpas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jenny Petitpas enrolled in Medicare?

Yes. Jenny Petitpas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenny Petitpas was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.