Jean Wilkens Sainristil

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1160-P.A. Issued in PR

Practice address

63 Chatham West Dr
Brockton, MA 02301-1310

Phone

(617) 388-7243

NPI assigned

Jan 15, 2022

Last updated

Jan 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 AZ

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prescott Medical Investment LLCGroup PAC ID 5092151696, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: totalpointprescottmedical.jeansainristil@161726.advancedmd-direct.com

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.

• Prescott Medical Investment LLC

  dba Total Point Prescott Medical

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1184408874
  Medicare reassignment Care Compare group NPD
• Dadra Medical PC

  • Internal Medicine Physician
  • Bullhead City, AZ
  • NPI 1407252844
  Medicare reassignment NPD
• Desert Springs Urgent Care, PC

  • Urgent Care Clinic/Center
  • Bullhead City, AZ
  • NPI 1225508757
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Yavapai Community Hospital Association

  dba Yavapai Regional Medical Center

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Care Compare affiliation

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

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1912658493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 CHATHAM WEST DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011310",
            "telephone_number": "617-388-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 CHATHAM WEST DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011310",
            "telephone_number": "617-388-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINRISTIL",
        "first_name": "JEAN WILKENS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-15",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "1160-P.A.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Sabre, RPH
• Laura Saccone
• Andrew Chapman Sackett-Taylor, APRN
• Usman Saeed
• Safespace Online LLC
• Marie H Saint Cyr, LCSW
• Frantz Saint Fleur, CNP
• Lovely Saint Rock
• Lydie Saint-Felix
• Chrismanie Saintloth

• Medical Physician Assistant in Brockton, MA
• Providers in Brockton, MA by specialty
• Medical Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; 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.

Verify at the official NPI Registry.