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JESSICA VAN LITH
NPI 1689415630
Physician Assistant in Boston, MA

Active since June 04, 2024PECOS Enrolled
450 BROOKLINE AVE, BOSTON, MA 02215(617) 632-3352 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2026, Jun 4, 2024 (2 updates tracked since 2024).

About Jessica Van Lith NPPES

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

JESSICA VAN LITH (NPI 1689415630) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA102164) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Oregon Health Sciences University School Of Medicine (2025).

NPPES Registry Identity

NPI1689415630
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA VAN LITH
Location Address450 BROOKLINE AVEBoston, MA 02215-5450
Mailing Address450 Brookline AveBoston, MA 02215-5450 · (617) 632-3352
Phone(617) 632-3352
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2025
Enumeration DateJune 4, 2024
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1689415630 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 · PA102164
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.
450 BROOKLINE AVE, Boston, MA 02215
Open in Google Maps ↗

Secondary Practice Location 1

Location 12730 S Moody AvePortland, OR 97201-5042 · Phone (602) 819-9123

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Van Lith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981180858
PECOS Enrollment IDI20260109002620
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 02215 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 20

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

PRABHSIMRANJOT SINGH MD
Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 582-7956
SHAWN MAGUIRE PA-C
Physician Assistant
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 582-8487
KARINA FRANCA
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (857) 215-2285
DR. SUZANNE JAQUETH FORREST M.D.
Pediatrics (Pediatric Hematology-Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 632-3270
LAUREN KIRITSY MSW, LCSW
Counselor (Mental Health)
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (857) 215-3448
OFIR WOLAJ MD
Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE, DANA 2058
BOSTON, MA 02215
Suffolk County (617) 632-6139
JASON BATALHA AGPCNP-BC
Nurse Practitioner
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 632-6140
FATIMA EMRAN AMIR MS, LGC
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 632-3729

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 Jessica Van Lith's NPI number?

The NPI number for Jessica Van Lith is 1689415630. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Where is Jessica Van Lith located?

Jessica Van Lith practices at 450 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 632-3352.

What is Jessica Van Lith's specialty?

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

Is Jessica Van Lith enrolled in Medicare?

Yes. Jessica Van Lith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Van Lith was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.