JENNA CHRISTINA DISTASIO (PA) – Physician Assistant, NPI 1215148606

JENNA CHRISTINA DISTASIO (PA) is a healthcare provider. based in Brighton, Massachusetts. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 2229 (MA). The NPI Number for JENNA CHRISTINA DISTASIO (PA) is 1215148606

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
JENNA CHRISTINA DISTASIO (PA)
NPI
1215148606
Phone
(617) 738-8642
Address
20 GUEST ST
Enumeration Date
25 May 2007
Last Update Date
19 August 2020

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
6177388642
Graduation Year
2006 (20 years ago)
PAC ID
9638278625
Group Practice PAC ID
8123301173
Professional Enrollment ID
I20070615000097
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JENNA CHRISTINA DISTASIO (PA)

  • 20, Guest Street, North Brighton, Brighton, Boston, Suffolk County, Massachusetts, 02135, United States

    STE 225

    BRIGHTON, MA 021352065

    Phone: (617) 738-8642

    Fax: (617) 202-4172

    Type: Mailing

  • 91, Parker Hill Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02120, United States

    ROXBURY CROSSING, MA 021203215

    Phone: (617) 754-6742

    Fax: (617) 754-6443

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02135)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123301173View full group profile
NameSpecialtyState
ROBERT ERNST MIEGEL (MD)
-MA
L. DOUGLAS DOLGOV (M.D.)
-MA

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Frequently asked questions

Is there an official ID for JENNA CHRISTINA DISTASIO (PA) in U.S. healthcare records?
The official identifier for JENNA CHRISTINA DISTASIO (PA) is NPI 1215148606.
Is JENNA CHRISTINA DISTASIO (PA) shown as active in public data?
Registry records indicate JENNA CHRISTINA DISTASIO (PA) maintains an active NPI.
What kind of doctor is JENNA CHRISTINA DISTASIO (PA)?
JENNA CHRISTINA DISTASIO (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JENNA CHRISTINA DISTASIO (PA)?
Travel planning: use Brighton, Massachusetts as the reference point for JENNA CHRISTINA DISTASIO (PA), then confirm.
Can I trust this NPI listing for JENNA CHRISTINA DISTASIO (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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