ILEANA FOURNIER PA
NPI 1790524510
Physician Assistant - Medical in Springfield, MA

Q: What is Ileana Fournier's NPI number?

The NPI number for Ileana Fournier is 1790524510. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Q: What is Ileana Fournier's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ileana Fournier was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 21, 2024PECOS Enrolled

759 CHESTNUT ST # S6538, SPRINGFIELD, MA 01107(413) 794-3233(413) 794-9060 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2025, Aug 1, 2024 (2 updates tracked since 2024).

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About Ileana Fournier Pa NPPES

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

ILEANA FOURNIER PA (NPI 1790524510) is an individual medical provider in Springfield, Massachusetts, licensed in Massachusetts (PA101820) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790524510

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameILEANA FOURNIERCredential: PA

Location Address759 CHESTNUT ST # S6538Springfield, MA 01107-1619

Mailing Address280 Chestnut St Fl 2Springfield, MA 01199-1001 · (413) 794-5700

Phone(413) 794-3233

Fax(413) 794-9060

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 21, 2024

Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2025

✔ NPI 1790524510 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 MA · PA101820

759 CHESTNUT ST # S6538, Springfield, MA 01107

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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)

Ileana Fournier Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971049032

PECOS Enrollment IDI20250721001372

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.

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.

MARISA ROBYN SIEGEL MD

Emergency Medicine