Jessica Lee Bahros, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

963 Issued in MA

Practice address

104 Quarry St Ste 2
Quincy, MA 02169-4174

Phone

(617) 472-6764

Fax

(617) 770-9933

NPI assigned

Sep 26, 2006

Last updated

Jan 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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 MA, VA2 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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Id of Quincy LLCGroup PAC ID 3173911161, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

69 of 100Reported as individual

Quality

63.27

Promoting interoperability

64

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jbahros@drksreed.emadirect.md

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.

• Id of Quincy LLC

  • Dermatology Physician
  • Quincy, MA
  • NPI 1053088377
  Medicare reassignment Care Compare group
• Complexions Dermatology, PC

  • Dermatology Physician
  • Danville, VA
  • NPI 1538502828
  Medicare reassignment
• Integrated Dermatology of Plymouth, LLC

  • Dermatology Physician
  • Quincy, MA
  • NPI 1407445711
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1992806772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SCOBEE CIR",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 QUARRY ST STE 2",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694174",
            "telephone_number": "617-472-6764",
            "fax_number": "617-770-9933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Industrial Park Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023604884",
            "country_code": "US",
            "telephone_number": "617-472-6764",
            "fax_number": "617-770-9933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHROS",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Ayala
• Karen A Azar, MSPT
• Myriam Louise Azer
• Tyler Babineau, MA
• Lorain Clair Baeumler, RN
• Mirza Baig, MD
• Jeremy James Bailey
• John Scott Bailey, M. DIV.
• Beth M Baker, LMT
• Katherine Baker, MS, CCC-SLP

• Physician Assistant in Quincy, MA
• Providers in Quincy, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.
• 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.