Individual provider Active NPI

Jessica L Rodrigues, PA

  • Physician Assistant
  • Springfield, MA
National Provider Identifier
1598749137
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1764 Issued in MA
Practice address
354 Birnie Ave
Ste 202
Springfield, MA 01107-1108
Phone
(413) 733-3470
Fax
(413) 733-5235
NPI assigned
Dec 6, 2005
Last updated
Jan 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 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 1764 MA Primary
Physician Assistant 363A00000X 7474 CT

Addresses

Primary practice location

354 Birnie Ave
Ste 202
Springfield, MA 01107-1108

Mailing address

354 Birnie Ave Ste 202
Springfield, MA 01107-1109
Phone (413) 733-3470

Other practice location 1

142 Market Sq
Newington, CT 06111-2913
Phone (860) 500-6301

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040901000244 MA Practitioner - Physician Assistant 2769457845 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1764MAMDPsychoanalysis Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Ma PC CurrentSince Aug 1, 2025 Accepting new patients
Hampden County Physician Associates, LLC. Past Accepting new patients
The Mercy Hospital Inc Past Accepting new patients
Hampden County Physician Associates, LLC Past Accepting new patients

Locations

819 Worcester St
Ste 1
Springfield, MA 01151
Phone (337) 408-0805

Organizations & group practices 5

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1598749137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 BIRNIE AVE STE 202",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071109",
            "telephone_number": "413-733-3470",
            "fax_number": "413-733-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 BIRNIE AVE",
            "address_2": "STE 202",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071108",
            "telephone_number": "413-733-3470",
            "fax_number": "413-733-5235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Market Sq",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "CT",
            "postal_code": "061112913",
            "country_code": "US",
            "telephone_number": "860-500-6301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1764",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "7474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.