JENNIFER BORDENCA (PA-C) – Physician Assistant, NPI 1841616620

JENNIFER BORDENCA (PA-C) is a healthcare provider. based in Hudson, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA4965 (MA). The NPI Number for JENNIFER BORDENCA (PA-C) is 1841616620

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER BORDENCA (PA-C)
NPI
1841616620
Phone
(860) 710-3357
Address
63 LAKE ST
Enumeration Date
17 March 2014
Last Update Date
23 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5085952300
Graduation Year
2013 (13 years ago)
PAC ID
8729203641
Group Practice PAC ID
5597755322
Professional Enrollment ID
I20140710000162
Address ID
MA016062714WO5XXXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,131 PHYSICIAN ASSISTANT in MA

Provider Addresses for JENNIFER BORDENCA (PA-C)

  • 63 LAKE ST

    HUDSON, MA 017491625

    Phone: (860) 710-3357

    Type: Mailing

  • 123 SUMMER ST

    WORCESTER, MA 016081216

    Phone: (508) 363-5000

    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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-07-10

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140710000162IPhysician AssistantMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9289$0
99214Established patient office or other outpatient visit, 30-39 minutes8785$0
87636Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b4141$0
99203New patient office or other outpatient visit, 30-44 minutes4040$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2727$0
View full utilization report →

Insurance plans in this area (ZIP 01749)

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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: 5597755322View full group profile

Reviews

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Frequently asked questions

What is the standard ID for JENNIFER BORDENCA (PA-C) in the U.S.?
In the U.S., JENNIFER BORDENCA (PA-C) is identified by NPI 1841616620.
Is JENNIFER BORDENCA (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists JENNIFER BORDENCA (PA-C) as active.
What services align with JENNIFER BORDENCA (PA-C)'s listing?
JENNIFER BORDENCA (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JENNIFER BORDENCA (PA-C) tied to Hudson, Massachusetts?
If you are local to Hudson, Massachusetts, JENNIFER BORDENCA (PA-C) may be relevant to your search.
Why is information missing for JENNIFER BORDENCA (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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