MR. JACOB PAUL DONOVAN PA-C
NPI 1467904078
Physician Assistant in Derry, NH

Active since October 30, 2016PECOS EnrolledAccepts Medicare Assignment
6 TSIENNETO RD STE 100, DERRY, NH 03038(603) 537-1300 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2023, Aug 8, 2018, Oct 30, 2016 (3 updates tracked since 2016).

About Mr. Jacob Paul Donovan Pa-c NPPES

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

MR. JACOB PAUL DONOVAN PA-C (NPI 1467904078) is an individual physician assistant in Derry, New Hampshire, licensed in New Hampshire (1220) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, is affiliated with Parkland Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1467904078
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JACOB PAUL DONOVANCredential: PA-C
Location Address6 TSIENNETO RD STE 100Derry, NH 03038
Mailing Address6 Buttrick Rd Ste 102Londonderry, NH 03053-3417 · (603) 537-1300
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 30, 2016
Last NPPES UpdateNovember 13, 20233 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
NPI 1467904078 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 NH · 1220
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.
6 TSIENNETO RD STE 100, Derry, NH 03038

Accepted Insurance

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

Mr. Jacob Paul Donovan 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 ID8426338344
PECOS Enrollment IDI20240830000353
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

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

Parkland Medical Center

Acute Care Hospitals · Derry, NH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number300017
Location1 Parkland DriveDerry, NH 03038 · Rockingham County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03038 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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 17

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

Physician Assistant
6 TSIENNETO RD STE 100
DERRY, NH 03038
Physician Assistant
6 TSIENNETO RD STE 100
DERRY, NH 03038
Nurse Practitioner (Family)
6 TSIENNETO RD STE 100
DERRY, NH 03038
Family Medicine (Sports Medicine)
6 TSIENNETO RD STE 100
DERRY, NH 03038
Nurse Practitioner (Family)
6 TSIENNETO RD STE 100
DERRY, NH 03038
Nurse Practitioner
6 TSIENNETO RD STE 100
DERRY, NH 03038
Nurse Practitioner
6 TSIENNETO RD STE 100
DERRY, NH 03038
Family Medicine
6 TSIENNETO RD STE 100
DERRY, NH 03038

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 Jacob Donovan's NPI number?

The NPI number for Jacob Donovan is 1467904078. It was assigned to this individual provider in the NPPES registry on October 30, 2016.

Where is Jacob Donovan located?

Jacob Donovan practices at 6 Tsienneto Rd Ste 100, Derry, NH 03038. The listed phone number is (603) 537-1300.

What is Jacob Donovan's specialty?

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

Is Jacob Donovan enrolled in Medicare?

Yes. Jacob Donovan 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.

What insurance does Jacob Donovan accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Jacob Donovan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacob Donovan affiliated with any hospitals?

According to CMS data, Jacob Donovan is affiliated with Parkland Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Donovan was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.