Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAZMYNE BERRY
NPI 1124789482
Physician Assistant in Worcester, MA

Q: What is Jazmyne Berry's NPI number?

The NPI number for Jazmyne Berry is 1124789482. It was assigned to this individual provider in the NPPES registry on January 7, 2022.

Q: What is Jazmyne Berry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jazmyne Berry was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.

Active since January 07, 2022PECOS Enrolled

119 BELMONT ST, WORCESTER, MA 01605(800) 225-8885(508) 334-1977 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 21, 2026, Mar 3, 2025, Jan 25, 2023 and 1 more (4 updates tracked since 2022).

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About Jazmyne Berry NPPES

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

JAZMYNE BERRY (NPI 1124789482) is an individual physician assistant in Worcester, Massachusetts, licensed in Vermont (055.0031642) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1124789482

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJAZMYNE BERRY

Location Address119 BELMONT STWorcester, MA 01605-2903

Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977

Phone(800) 225-8885

Fax(508) 334-1977

Sole ProprietorNo

Enumeration DateJanuary 7, 2022

Last NPPES UpdateAugust 21, 20264 updates tracked since enumeration

NPPES CertifiedAugust 21, 2026

✔ NPI 1124789482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in VT · 055.0031642✔ Licensed in MA · PA101544

Definition

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.

119 BELMONT ST, Worcester, MA 01605

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Secondary Practice Location 1

Location 155 Lake Ave NWorcester, MA 01655-0002 · Phone (800) 225-8885 · Fax (508) 334-1977

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jazmyne Berry 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

36 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

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