Individual provider Active NPI

Jessica Gawrys, PA

  • Physician Assistant
  • Foster, RI
National Provider Identifier
1699335059
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
142A Danielson Pike
Foster, RI 02825-1485
Phone
(401) 647-3702
NPI assigned
Jun 18, 2019
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 Primary
Athletic Trainer 2255A2300X

Addresses

Primary practice location

142A Danielson Pike
Foster, RI 02825-1485

Mailing address

142A Danielson Pike
Foster, RI 02825-1485
Phone (401) 647-3702

Other names 1

  • Jessica Wood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20190828003291 RI Practitioner - Physician Assistant 2163750100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Community Health CareGroup PAC ID 1355250663, 35 clinicians

Practice addresses (Care Compare)

36 Bridge Way
Pascoag, RI 02859-3131
Phone (401) 567-0800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Care CurrentSince Aug 5, 2019 Accepting new patients
Northwest Community Health Care CurrentSince Aug 5, 2019 Accepting new patients

Locations

142A Danielson Pike
Foster, RI 02825
Phone (401) 567-0800

36 Bridge Way
Pascoag, RI 02859
Phone (401) 567-0800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1699335059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142A DANIELSON PIKE",
            "city": "FOSTER",
            "state": "RI",
            "postal_code": "028251485",
            "telephone_number": "401-647-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142A DANIELSON PIKE",
            "city": "FOSTER",
            "state": "RI",
            "postal_code": "028251485",
            "telephone_number": "401-647-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWRYS",
        "first_name": "JESSICA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WOOD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Foster, RI

Sources for this page

Verify at the official NPI Registry.