Odeta Hysenaj, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

AP1941 Issued in MA

Practice address

111 Huntoon Memorial Hwy
Innovative Physician Services LLC
Rochdale, MA 01542

Phone

(508) 892-6000

Fax

(508) 892-6001

NPI assigned

Oct 14, 2005

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ohysenaj460071@direct.bilh.masshiway.net

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.

• Hebrew Rehabilitation Center

  • Long Term Care Hospital
  • Boston, MA
  • NPI 1437155967
  Medicare reassignment NPD
• Curana Health of Massachusetts LLC

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1154779445
  Medicare reassignment
• Medical Care of Boston Management Corporation

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1437196359
  Medicare reassignment

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306835129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391",
            "address_2": "INNOVATIVE PHYSICIAN SERVICES LLC",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010950391",
            "telephone_number": "508-595-0531",
            "fax_number": "508-829-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HUNTOON MEMORIAL HWY",
            "address_2": "INNOVATIVE PHYSICIAN SERVICES LLC",
            "city": "ROCHDALE",
            "state": "MA",
            "postal_code": "01542",
            "telephone_number": "508-892-6000",
            "fax_number": "508-892-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYSENAJ",
        "first_name": "ODETA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "AP1941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• HMS Care Continuum LLC
• Elizabeth Catherine Langlois, LPN
• Hannah L Largent, PTA
• Leicester Nursing LLC
• Maria Kim M.D. Internal Medicine, LLC
• Pax Healing LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.