Active NPIIndividual provider

Jill M Collins, PA-C

Physician Assistant in Worcester, Massachusetts

NPI Number1780184143
Practice location
55 Lake Ave N, Worcester, MA 01655-0002
Fax
—
Last updated
December 19, 2024

Jill Marie Collins is a Physician Assistant based in Worcester, MA. Jill Marie Collins practices in Worcester, MA and has the professional credentials of PA-C. The NPI Number for Jill Marie Collins is 1780184143 and holds a License No. PA01120 (RI). The current practice location address for Jill Marie Collins is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-334-3850.

Provider Profile Details

NPI Number
1780184143
Provider Name
Jill Marie Collins
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave N, Worcester, MA 01655-0002
Phone Number
508-334-3850
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Jill Marie Goretti (Former Name)
Provider Enumeration Date
February 12, 2018
Last Update Date
December 19, 2024
Certification Date
December 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-334-3850
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 41538
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348
Phone Number
800-225-8885

License Information

License Number (1)
PA01120
License State (1)
RI
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
PA6437
License State (2)
MA
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X
License Number (3)
PA6437
License State (3)
MA
Taxonomy (3)
Physician Assistant, Surgical · 363AS0400X
License Number (4)
PA6437
License State (4)
MA
Taxonomy (4)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jill M Collins, PA-C?

The NPI number of Jill M Collins, PA-C is 1780184143. It was assigned on February 12, 2018 and is currently active in the NPPES registry.

What is the specialty of Jill M Collins, PA-C?

Jill M Collins, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA01120.

Where does Jill M Collins, PA-C practice?

The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-334-3850 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780184143 directly on the NPPES registry website.

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