Individual provider Active NPI

Jillian O'Melia

  • Physician Assistant
  • Bristol, RI
National Provider Identifier
1104415884
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01317 Issued in RI
Practice address
1 Dawn HL
Bristol, RI 02809-3903
Phone
(872) 231-3162
NPI assigned
Jan 15, 2021
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01317 RI Primary
Physician Assistant 363A00000X PA8097 MA

Addresses

Primary practice location

1 Dawn HL
Bristol, RI 02809-3903

Mailing address

PO Box 7411009
Chicago, IL 60674-3009
Phone (872) 231-3162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211122002293 MA Practitioner - Physician Assistant 0749679272 Reassigns benefits to 2 organizations
I20240905003803 RI Practitioner - Physician Assistant 0749679272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Wellness Centers LLCGroup PAC ID 2860536919, 39 clinicians
First Docs PCGroup PAC ID 0547626871, 181 clinicians

Practice addresses (Care Compare)

61 Industrial Park Rd
Suite 2
Plymouth, MA 02360-7246
Phone (508) 503-5020

7 Creek LN
Bristol, RI 02809-2401
Phone (872) 231-3162

900 Memorial Ave
West Springfield, MA 01089-3557
Phone (413) 584-2173

92 Grape St
New Bedford, MA 02740-2104
Phone (774) 202-2264

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
PA01317RIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince May 1, 2025 Accepting new patients
Total Wellness Centers, LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

100 Amity St
Fall River, MA 02721
Phone (508) 235-3600

342 Gifford St
Unit C
Falmouth, MA 02540
Phone (508) 495-0554

59 Bobala Rd
Holyoke, MA 01040
Phone (413) 486-7819

360 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

92 Grape St
New Bedford, MA 02740
Phone (508) 991-4100

204 Proctor Ave
Revere, MA 02151
Phone (781) 286-3100

900 Memorial Ave
West Springfield, MA 01089
Phone (413) 739-9001

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1104415884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411009",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606743009",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DAWN HL",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028093903",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MELIA",
        "first_name": "JILLIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01317",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8097",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, RI

Sources for this page

Verify at the official NPI Registry.