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JASON CHARLES XYNELLIS PA-C
NPI 1952501942
Physician Assistant - Medical in Providence, RI

Active since July 19, 2007PECOS Enrolled
1195 N MAIN ST, PROVIDENCE, RI 02904(401) 331-8555 Get Directions Write a Review

NPPES record last updated: November 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jason Charles Xynellis Pa-c NPPES

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

JASON CHARLES XYNELLIS PA-C (NPI 1952501942) is an individual medical provider in Providence, Rhode Island, licensed in Rhode Island (PA00501) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1952501942
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJASON CHARLES XYNELLISCredential: PA-C
Location Address1195 N MAIN STProvidence, RI 02904-1824
Mailing Address1195 N Main StProvidence, RI 02904-1824 · (401) 331-8555
Phone(401) 331-8555
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 19, 2007
Last NPPES UpdateNovember 30, 2012
✔ NPI 1952501942 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 RI · PA00501
1195 N MAIN ST, Providence, RI 02904
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Other Identifiers 2

Other0021338RI · Medicare Ptan
MedicaidJX84601RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Charles Xynellis Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062596299
PECOS Enrollment IDI20110601000406
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 5

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.

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.
77 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Other Providers at the Same Location NPPES 5

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

AGAPE PRIMARY CARE AND LASER CENTER LLC
Internal Medicine
1195 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 654-4433
MICHAEL STEMPEK PA
Physician Assistant
1195 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 331-8555
EAST SIDE URGENT CARE LLC
Clinic/Center (Urgent Care)
1195 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 861-3782
EAST SIDE PRIMARY CARE PROVIDENCE LLC
Internal Medicine
1195 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 334-3105
LISA S BAILEY PA
Physician Assistant (Medical)
1195 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 861-3782

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 Jason Xynellis's NPI number?

The NPI number for Jason Xynellis is 1952501942. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Jason Xynellis located?

Jason Xynellis practices at 1195 N Main St, Providence, RI 02904. The listed phone number is (401) 331-8555.

What is Jason Xynellis's specialty?

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

Is Jason Xynellis enrolled in Medicare?

Yes. Jason Xynellis is registered in the Medicare PECOS enrollment system.

Is Jason Xynellis affiliated with any hospitals?

According to CMS data, Jason Xynellis is affiliated with Kent County Memorial Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Jason Xynellis was last updated on November 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.