Jennifer R Corriveau, PA-C
Physician Assistant in Worcester, MA. Individual provider (NPI-1).
NPI number1720173099
StatusActive
Last updated in NPPESOct 26, 2020
Details
- NPI
- 1720173099
- Entity type
- Individual (NPI-1)
- Name
- Jennifer R Corriveau
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2006
- Certification date
- Oct 26, 2020
- Last updated
- Oct 26, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2173 | MA | Yes |
Other names
- Jennifer R Baldelli (Former Name)
Practice location
55 Lake Ave NDepartment Of Surgery
Worcester, MA 01655-0002
Phone 508-334-0605 · Fax 508-856-5074
Mailing address
Po Box 415348Boston, MA 02241-0001
Phone 800-225-8885 · Fax 508-334-1977
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 425 Physician Assistant providers in Worcester · All 14,792 providers in Worcester
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