Jenna Marie Little, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

003290 Issued in CT

Practice address

500 Chase Pkwy
Suite 2B
Waterbury, CT 06708-3346

Phone

(203) 755-6677

Fax

(203) 755-7166

NPI assigned

Aug 28, 2007

Last updated

Sep 1, 2017By 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 3

Addresses

Other identifiers 1

Other names 1

• Miss Jenna Marie Jones Former name

Medicare fee-for-service enrollment

Enrolled in PA

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Chase Pain Management Associates PCGroup PAC ID 3577451087, 6 clinicians

Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doylestown Hospital Hospital, Doylestown, PA, CCN 390203
• St Luke's Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jenna.little@4009.securemail.prognocis.com

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.

• Fox Chase Pain Management Associates, PC

  • Specialist
  • Trevose, PA
  • NPI 1881649416
  Medicare reassignment Care Compare group
• Tribury Orthopaedics

  • Chiropractor
  • Waterbury, CT
  • NPI 1083643126
  NPD (past)
• Ferrara Neurosurgical Associates LTD

  • Specialist
  • Jenkintown, PA
  • NPI 1316993637
  NPD (past)

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

• Doylestown Hospital

  • General Acute Care Hospital
  • Doylestown, PA
  • NPI 1225091697
  Care Compare affiliation
• St. Luke's Hospital Grand View Campus

  • General Acute Care Hospital
  • Sellersville, PA
  • NPI 1568459287
  Care Compare affiliation

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1245424829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HORIZON DR",
            "address_2": "STE 101",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143970",
            "telephone_number": "215-489-9170",
            "fax_number": "215-489-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHASE PKWY",
            "address_2": "SUITE 2B",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083346",
            "telephone_number": "203-755-6677",
            "fax_number": "203-755-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.002600",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002600",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "003290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT LICENSE",
            "identifier": "003290",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "JONES",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret Lillian Lionsbeard Sullivan, LCSW
• Katherine Lipinski, MD
• Jonathan Brian Lis, MD
• Janet M Lisak, MOT,OTR,CHT
• Little Spark ABA
• Emily B Littman, P.H.D.
• Joseph F Livolsi, RPH
• Georgina Lloyd
• Alisa Lobach, MD
• Megan Lockshire, RN

• Surgical Physician Assistant in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Surgical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; 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.