Active NPI
Jennifer Hardy, P.A.
- Physician Assistant
- Worcester, MA
National Provider Identifier
1700846300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1458
- Practice address
- 123 Summer St
Worcester, MA 01608-1200 - Phone
- (508) 363-5000
- Fax
- (508) 363-7164
- NPI assigned
- Mar 27, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1458 | MA | Primary |
Addresses
Primary practice location
123 Summer St
Worcester, MA 01608-1200
Mailing address
123 Summer St
Worcester, MA 01608-1200
Phone (508) 363-5000
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000610 | CT | MD | Acupuncturist |
| 1458 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sudbury Pines Extended Care Facility | Current | Accepting new patients | |
| Connecticut Vascular Surgical Associates, PC | Past | Accepting new patients |
Locations
642 Boston Post Rd
Sudbury, MA 01776
Phone (978) 443-9000
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Worcester, MA
- NPI 1013997329
-
dba Sudbury Pines Extended Care
- Skilled Nursing Facility
- Sudbury, MA
- NPI 1215924147
-
dba Sudbury Pines Hospice
- Community Based Hospice Care Agency
- Sudbury, MA
- NPI 1811024664
-
- Vascular Surgery Physician
- Shelton, CT
- NPI 1801805403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1700846300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081200",
"telephone_number": "508-363-5000",
"fax_number": "508-363-7164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081200",
"telephone_number": "508-363-5000",
"fax_number": "508-363-7164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "JENNIFER",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "1458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- 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.