Individual provider Active NPI

Alexandra Martinez Yacano, PA

  • Physician Assistant
  • Foxborough, MA
National Provider Identifier
1114514916
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
22 Patriot PL
Foxborough, MA 02035-1375
Phone
(508) 543-1700
NPI assigned
Dec 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

22 Patriot PL
Foxborough, MA 02035-1375

Mailing address

11 Kimball Dr Unit 125
Hooksett, NH 03106-2623
Phone (603) 314-6879

Other practice location 1

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 314-6879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 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
I20231201001104 NH Practitioner - Physician Assistant 4880042878
I20260213002425 MA Practitioner - Physician Assistant 4880042878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22 Patriot PL
Foxborough, MA 02035-1375

450 Brookline Ave
Boston, MA 02215-5450

Hospital & facility affiliations

  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2114NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. CurrentSince Dec 8, 2025 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Dec 8, 2025 Accepting new patients
Dana-Farber Cancer Institute, Inc. Past Accepting new patients

Locations

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

22 Patriot Pl
Fl 2
Foxborough, MA 02035
Phone (508) 543-1700

Organizations & group practices 3

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1114514916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 KIMBALL DR UNIT 125",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031062623",
            "telephone_number": "603-314-6879",
            "fax_number": "603-622-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PATRIOT PL",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020351375",
            "telephone_number": "508-543-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033017559",
            "country_code": "US",
            "telephone_number": "603-314-6879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YACANO",
        "first_name": "ALEXANDRA",
        "middle_name": "MARTINEZ",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxborough, MA

Sources for this page

Verify at the official NPI Registry.