Briana Jackson, PA-S

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA102167 Issued in MA

Practice address

318 Main St Ste 165
Northborough, MA 01532-3609

Phone

(508) 936-1657

NPI assigned

Jun 28, 2024

Last updated

Dec 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mikhail Novikov MD, PCGroup PAC ID 4981917952, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mikhail Novikov MD PC

  dba Dr. Novikov Wellness and Skin Care

  • Surgery Physician
  • Northborough, MA
  • NPI 1124418058
  Medicare reassignment Care Compare group NPD
• Mikhail Novikov MD

  • Surgery Physician
  • Attleboro, MA
  • NPI 1467793380
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1023853215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GREENLAWN AVE",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018324434",
            "telephone_number": "978-476-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MAIN ST STE 165",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015323609",
            "telephone_number": "508-936-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BRIANA",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA102167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel A Hurwitz, M.D.
• Farhan Ibrahimi, MD
• Integrative Psychiatry Health, PLLC
• Gunardi Nyoto Irawan, M.D.
• Lisa Irvine, MS OTR/L RYT200
• Michelle Jacques, PA-C
• Jared Manteuffel LMHC LLC
• Leanne Joeckel, LICSW
• Amanda Johnson
• Belma Johnson, MA

• Physician Assistant in Northborough, MA
• Providers in Northborough, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.