Active NPI
Jennifer M. Sills, PA-C
- Physician Assistant
- Framingham, MA
National Provider Identifier
1811556541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 61 Lincoln St Ste 203
Framingham, MA 01702-8264 - Phone
- (781) 666-2711
- Fax
- (781) 666-2712
- NPI assigned
- Jun 6, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 9112212 | FL | |
| Physician Assistant | 363A00000X | MA | Primary |
Addresses
Primary practice location
61 Lincoln St Ste 203
Framingham, MA 01702-8264
Mailing address
1100 Collins Ave Apt 208
Miami Beach, FL 33139-4661
Phone (248) 915-5957
Other practice location 1
1065 NE 125th St Ste 206
North Miami, FL 33161-5832
Phone (305) 891-0050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
61 Lincoln St
Framingham, MA 01702-8264
Phone (781) 666-2711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9112212 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Value Healthcare Partners | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba SNBCare
- Community/Behavioral Health Agency
- North Smithfield, RI
- NPI 1356906572
MA
-
- Preferred Provider Organization
- Miami, FL
- NPI 1316763394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1811556541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 COLLINS AVE APT 208",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331394661",
"telephone_number": "248-915-5957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 LINCOLN ST STE 203",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017028264",
"telephone_number": "781-666-2711",
"fax_number": "781-666-2712"
}
],
"practiceLocations": [
{
"address_1": "1065 NE 125th St Ste 206",
"address_purpose": "LOCATION",
"city": "North Miami",
"state": "FL",
"postal_code": "331615832",
"country_code": "US",
"telephone_number": "305-891-0050",
"fax_number": "305-891-0497",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SILLS",
"first_name": "JENNIFER",
"middle_name": "M.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "9112212",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.