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JENNA LYN DADDARIO PA-C
NPI 1184973042
Physician Assistant in Boston, MA

Active since September 06, 2012PECOS EnrolledAccepts Medicare Assignment
55 FRUIT ST STE 435, BOSTON, MA 02114(617) 726-2000 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 22, 2020, Aug 5, 2020 (2 updates tracked since 2020).

About Jenna Lyn Daddario Pa-c NPPES

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

JENNA LYN DADDARIO PA-C (NPI 1184973042) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA7297) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center Inc, and maintains a secondary practice location in Manhasset.

NPPES Registry Identity

NPI1184973042
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNA LYN DADDARIOCredential: PA-C
Location Address55 FRUIT ST STE 435Boston, MA 02114-2621
Mailing Address17 Lockewood DrFranklin, MA 02038-2347 · (508) 509-2735
Phone(617) 726-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 6, 2012
Last NPPES UpdateSeptember 22, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2020
✔ NPI 1184973042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA7297
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 23015924 (NY)
55 FRUIT ST STE 435, Boston, MA 02114
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Secondary Practice Location 1

Location 1300 Community DrManhasset, NY 11030-3816 · Phone (516) 562-4125

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

Jenna Lyn Daddario 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 ID3870727217
PECOS Enrollment IDI20201105001244
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Medical Center Inc

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210008
Location301 Saint Paul PlaceBaltimore, MD 21202 · Baltimore City County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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 Jenna Daddario's NPI number?

The NPI number for Jenna Daddario is 1184973042. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Where is Jenna Daddario located?

Jenna Daddario practices at 55 Fruit St Ste 435, Boston, MA 02114. The listed phone number is (617) 726-2000.

What is Jenna Daddario's specialty?

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

Is Jenna Daddario enrolled in Medicare?

Yes. Jenna Daddario is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jenna Daddario affiliated with any hospitals?

According to CMS data, Jenna Daddario is affiliated with Mercy Medical Center Inc and Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Jenna Daddario was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.