JENNIFER PHAM PA-C
NPI 1174318216
Physician Assistant in Springfield, MA

Q: What is Jennifer Pham's NPI number?

The NPI number for Jennifer Pham is 1174318216. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Q: What is Jennifer Pham'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 Jennifer Pham was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 April 10, 2025PECOS EnrolledAccepts Medicare Assignment

100 WASON AVE STE 100, SPRINGFIELD, MA 01107(413) 732-7426(833) 972-4800 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2025, Apr 10, 2025 (2 updates tracked since 2025).

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About Jennifer Pham Pa-c NPPES

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

JENNIFER PHAM PA-C (NPI 1174318216) is an individual physician assistant in Springfield, Massachusetts, licensed in Massachusetts (PA101586) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Ctr, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174318216

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJENNIFER PHAMCredential: PA-C

Location Address100 WASON AVE STE 100Springfield, MA 01107-1179

Mailing Address100 Wason Ave Ste 100Springfield, MA 01107-1179 · (413) 732-7426 · Fax (833) 972-4800

Phone(413) 732-7426

Fax(833) 972-4800

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 10, 2025

Last NPPES UpdateMay 5, 20252 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1174318216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MA · PA101586

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.

100 WASON AVE STE 100, Springfield, MA 01107

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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 and accepts Medicare assignment

Jennifer Pham Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012429558

PECOS Enrollment IDI20250718002204

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220066

Location271 Carew StreetSpringfield, MA 01104 · Hampden County

Emergency services Birthing friendly

Baystate Medical Center

Acute Care Hospitals · Springfield, MA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220077

Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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 8

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

NANCY J URCUIOLI MS CCC A

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