JILLIAN P VITALE PA-C
NPI 1699269001
Physician Assistant in Worcester, MA

Q: What is Jillian Vitale's NPI number?

The NPI number for Jillian Vitale is 1699269001. It was assigned to this individual provider in the NPPES registry on June 19, 2018. The provider is also known as Jillian P Bouchard Pa-C.

Q: What is Jillian Vitale's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jillian Vitale was last updated on September 23, 2022. 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.

Active since June 19, 2018PECOS Enrolled

119 BELMONT ST, WORCESTER, MA 01605(508) 334-6206(508) 334-6083 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2022, Sep 2, 2022, Aug 23, 2022 and 2 more (5 updates tracked since 2018).

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About Jillian P Vitale Pa-c NPPES

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

JILLIAN P VITALE PA-C (NPI 1699269001) is an individual physician assistant in Worcester, Massachusetts, licensed in Massachusetts (PA6619) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699269001

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJILLIAN P VITALECredential: PA-C

Location Address119 BELMONT STWorcester, MA 01605-2903

Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977

Phone(508) 334-6206

Fax(508) 334-6083

Sole ProprietorNo

Enumeration DateJune 19, 2018

Last NPPES UpdateSeptember 23, 20225 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2022

✔ NPI 1699269001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MA · PA6619✔ Licensed in CT · 4261

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.

119 BELMONT ST, Worcester, MA 01605

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Other Names 1

Former Name (1)Jillian P Bouchard Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jillian P Vitale Pa-c 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 01605 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.

DR. PANKAJ ANIL KSHEERSAGAR M.B.B.S.,M.D

Family Medicine