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TISHA JEAN PA-C
NPI 1558094862
Physician Assistant in Longmeadow, MA

Active since July 05, 2022PECOS Enrolled
588 LONGMEADOW ST, LONGMEADOW, MA 01106(413) 656-1000 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tisha Jean Pa-c NPPES

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

TISHA JEAN PA-C (NPI 1558094862) is an individual physician assistant in Longmeadow, Massachusetts, licensed in Massachusetts (PA102002) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1558094862
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTISHA JEANCredential: PA-C
Location Address588 LONGMEADOW STLongmeadow, MA 01106-2212
Mailing Address588 Longmeadow StLongmeadow, MA 01106-2212
Phone(413) 656-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 5, 2022
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
✔ NPI 1558094862 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 · PA102002
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.
588 LONGMEADOW ST, Longmeadow, MA 01106
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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)

Tisha Jean Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678051844
PECOS Enrollment IDI20260129001649
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 01106 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.

MS. MAIA LAINE BONI
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1000
EUNNINDY DELLS SANON
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (603) 556-2151
CLARA BANG
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (800) 782-7284
NADYA FITSUM
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1000
KRUTI PATEL
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1000
TANNER JAMES BLANK
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1317
SHEIDA KARAMNEJAD
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1000
ALLISON NAYOUNG LEE
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 693-4242

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 Tisha Jean's NPI number?

The NPI number for Tisha Jean is 1558094862. It was assigned to this individual provider in the NPPES registry on July 5, 2022.

Where is Tisha Jean located?

Tisha Jean practices at 588 Longmeadow St, Longmeadow, MA 01106. The listed phone number is (413) 656-1000.

What is Tisha Jean's specialty?

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

Is Tisha Jean enrolled in Medicare?

Yes. Tisha Jean is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tisha Jean was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.