JILL O. DUTRA PA-C
NPI 1679098818
Physician Assistant - Medical in Dover, NH

Active since August 09, 2017PECOS EnrolledAccepts Medicare Assignment
770 CENTRAL AVE, DOVER, NH 03820(603) 742-0101 Get Directions Write a Review

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

Record update history: Mar 13, 2023, Aug 30, 2022, Aug 9, 2017 (3 updates tracked since 2017).

About Jill O. Dutra Pa-c NPPES

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

JILL O. DUTRA PA-C (NPI 1679098818) is an individual medical provider in Dover, New Hampshire, licensed in New Hampshire (1291) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Wentworth-douglass Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1679098818
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJILL O. DUTRACredential: PA-C
Location Address770 CENTRAL AVEDover, NH 03820-3437
Mailing AddressPo Box 412503Boston, MA 02241-2503 · (617) 726-3884
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 9, 2017
Last NPPES UpdateMarch 13, 20233 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
NPI 1679098818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NH · 1291
770 CENTRAL AVE, Dover, NH 03820

Other Names 1

Former Name (1)Jill Oliver Pa-c

Other Identifiers 1

Medicaid3110787NH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Jill O. Dutra 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 ID7113290149
PECOS Enrollment IDI20170913001497
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 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
22 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 19

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

Obstetrics & Gynecology
770 CENTRAL AVE
DOVER, NH 03820
Obstetrics & Gynecology
770 CENTRAL AVE
DOVER, NH 03820
Obstetrics & Gynecology
770 CENTRAL AVE
DOVER, NH 03820
Advanced Practice Midwife
770 CENTRAL AVE
DOVER, NH 03820
Nurse Practitioner (Women's Health)
770 CENTRAL AVE
DOVER, NH 03820
Nurse Practitioner (Family)
770 CENTRAL AVE
DOVER, NH 03820
Advanced Practice Midwife
770 CENTRAL AVE
DOVER, NH 03820
Nurse Practitioner (Women's Health)
770 CENTRAL AVE
DOVER, NH 03820

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 Jill Dutra's NPI number?

The NPI number for Jill Dutra is 1679098818. It was assigned to this individual provider in the NPPES registry on August 9, 2017. The provider is also known as Jill Oliver Pa-C.

Where is Jill Dutra located?

Jill Dutra practices at 770 Central Ave, Dover, NH 03820. The listed phone number is (603) 742-0101.

What is Jill Dutra's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jill Dutra enrolled in Medicare?

Yes. Jill Dutra 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 Jill Dutra accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Jill Dutra 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 Jill Dutra affiliated with any hospitals?

According to CMS data, Jill Dutra is affiliated with Wentworth-Douglass Hospital.

When was this NPI record last updated?

The NPPES record for Jill Dutra was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.