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JENNA CHRISTINA DISTASIO PA
NPI 1215148606
Physician Assistant in Roxbury Crossing, MA

Active since May 25, 2007PECOS Enrolled
91 PARKER HILL AVE, ROXBURY CROSSING, MA 02120(617) 754-6742(617) 754-6443 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jenna Christina Distasio Pa NPPES

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

JENNA CHRISTINA DISTASIO PA (NPI 1215148606) is an individual physician assistant in Roxbury Crossing, Massachusetts, licensed in Massachusetts (2229) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215148606
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNA CHRISTINA DISTASIOCredential: PA
Location Address91 PARKER HILL AVERoxbury Crossing, MA 02120-3215
Mailing Address20 Guest St, Ste 225Brighton, MA 02135-2065 · (617) 738-8642 · Fax (617) 202-4172
Phone(617) 754-6742
Fax(617) 754-6443
Sole ProprietorYes
Enumeration DateMay 25, 2007
Last NPPES UpdateAugust 19, 2020
NPPES CertifiedAugust 19, 2020
✔ NPI 1215148606 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 · 2229
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.
91 PARKER HILL AVE, Roxbury Crossing, MA 02120
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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)

Jenna Christina Distasio 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02120 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.

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.

ORTHOPAEDIC CLINICAL ASSOC INC.
Specialist
91 PARKER HILL AVE
ROXBURY CROSSING, MA 02120
Suffolk County (617) 754-6742
THOMAS JAY KEOLA KANE IV MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
91 PARKER HILL AVE
BOSTON, MA 02120
Suffolk County (508) 308-6905

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 Distasio's NPI number?

The NPI number for Jenna Distasio is 1215148606. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Jenna Distasio located?

Jenna Distasio practices at 91 Parker Hill Ave, Roxbury Crossing, MA 02120. The listed phone number is (617) 754-6742.

What is Jenna Distasio's specialty?

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

Is Jenna Distasio enrolled in Medicare?

Yes. Jenna Distasio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenna Distasio was last updated on August 19, 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.