Individual provider Active NPI

Jenna Marie Dobbins, PA-C

  • Medical Physician Assistant
  • Boston, MA
National Provider Identifier
1932625258
Registry record updated Jul 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
026742 Issued in NY
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

Updated by the provider on Jul 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
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, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180126002235 MA Practitioner - Physician Assistant 7719247428 Reassigns benefits to 2 organizations
I20210719003564 NY Practitioner - Physician Assistant 7719247428 Reassigns benefits to 3 organizations

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
Breast Cancer Surgery of the University of RochesterGroup PAC ID 0446313621, 16 clinicians

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

LicenseStateTypeSpecialty
26742NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Aug 2, 2021 Accepting new patients
Rochester General Hospital CurrentSince Aug 2, 2021 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Aug 2, 2021 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jan 13, 2018 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jan 13, 2018 Accepting new patients
Western New York Medical Practice PC CurrentSince Aug 2, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.