Active NPI
Jenna Marie Dobbins, PA-C
- Medical Physician Assistant
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 026742
- Practice address
- 450 Brookline Ave
Boston, MA 02215-5418 - Phone
- (617) 632-3000
- NPI assigned
- Aug 17, 2017
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26742 | NY | |
| Medical Physician Assistant | 363AM0700X | 026742 | NY | Primary |
Addresses
Primary practice location
450 Brookline Ave
Boston, MA 02215-5418
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-4496
Other practice location 1
1561 Long Pond Rd Ste 216
Rochester, NY 14626-4135
Phone (585) 922-4496
Other practice location 2
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Other practice location 3
1415 Portland Ave
Rochester, NY 14621-3038
Phone (585) 922-4496
Other names 1
- Jenna Marie Macone
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdobbins286595@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | jdobbins286595@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | jdobbins286595@direct.urmc.rochester.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NY
- 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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Red Creek Dr
Suite 211
Rochester, NY 14623-4262
Phone (585) 487-1700
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 276-3332
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26742 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Western New York Medical Practice PC | Current | Accepting new patients |
Locations
450 Brookline Ave
Ste 1470
Boston, MA 02215
75 Francis St
Boston, MA 02115
450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
1561 Long Pond Rd
Ste 216
Rochester, NY 14626
Phone (585) 368-4050
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1415 Portland Ave
Rochester, NY 14621
Phone (585) 275-7741
Interoperability endpoints
- jdobbins286595@direct.urmc.rochester.edu
Organizations & group practices 9
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.
-
- Surgical Oncology Physician
- Rochester, NY
- NPI 1932357795
-
- General Acute Care Hospital
- Boston, MA
- NPI 1851333686
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Durable Medical Equipment & Medical Supplies
- Chestnut Hill, MA
- NPI 1497429237
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- Internal Medicine Physician
- Sodus, NY
- NPI 1821163718
-
- Obstetrics & Gynecology Physician
- Warsaw, NY
- NPI 1306214689
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1972548568
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689984000000",
"number": "1932625258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KINGS HWY S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146175504",
"telephone_number": "585-922-4496",
"fax_number": "585-922-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155418",
"telephone_number": "617-632-3000"
}
],
"practiceLocations": [
{
"address_1": "1561 Long Pond Rd Ste 216",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146264135",
"country_code": "US",
"telephone_number": "585-922-4496",
"fax_number": "585-922-4442",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 Francis St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021156110",
"country_code": "US",
"telephone_number": "617-732-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1415 Portland Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146213038",
"country_code": "US",
"telephone_number": "585-922-4496",
"fax_number": "585-922-4442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOBBINS",
"first_name": "JENNA",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2023-07-22",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "26742",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "026742",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdobbins286595@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdobbins286595@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdobbins286595@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JENNA",
"last_name": "MACONE",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.