Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801130901 Individual Practitioner Female Practitioner

Jennifer Sullivan , PA

Physician Assistant • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jennifer Sullivan, PA is a certified Physician Assistant practicing in Worcester, MA. With approximately 14 years of clinical experience since completing medical education in 2012, Jennifer Sullivan delivers high-quality medical care to the local community at 55 LAKE AVE N.

Jennifer Sullivan is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include harvest of veins for coronary artery bypass procedure using an endoscope, coronary artery bypass using artery graft, 1 graft, coronary artery bypass using vein or artery graft, 2 grafts. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 5083343278
Fax 5083347284
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Worcester, MA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +3.6 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
426 Specialists

Practicing in Worcester, MA (4746 Statewide)

Telehealth Adoption Rate
15.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (14 Years) 14 Yrs
Worcester Specialty Average (10.4 Years) 10.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
33508 Harvest of veins for coronary artery bypass procedure using an endoscope
12 12 $75.00 $12.94
33533 Coronary artery bypass using artery graft, 1 graft
11 11 $1942.60 $232.74

Medical Specialties & State Licenses

CMS Verified: 2020-11-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA4574

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners
Christopher Agosti , PA

Physician Assistant

NPI 1023596921

Physician Assistant

Dr. Mary Huerter , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1043502008

Doctor of Medicine (M.D.)

Michael Dorsey , PA-C

Physician Assistant

NPI 1053405043

Physician Assistant (Certified)

Sarah Henry , PA-C

Physician Assistant

NPI 1073277943

Physician Assistant (Certified)

Dr. Leora Balsam , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1083800585

Doctor of Medicine (M.D.)

Margo Wood , NP

Nurse Practitioner - Family

NPI 1083844773

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active April 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2017

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083343278)

📍
Updated Business Mailing Address April 26, 2017

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

👤
Provider Name / Credentials Updated April 26, 2017

Recorded as JENNIFER SULLIVAN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2017

Physician Assistant (License #PA4574 in MA)

NPI Profile Active April 08, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2015

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083343278)

📍
Updated Business Mailing Address April 08, 2015

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

👤
Provider Name / Credentials Updated April 08, 2015

Recorded as JENNIFER SULLIVAN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2015

Physician Assistant (License #PA4574 in MA)

🟢
Initial NPI Registration & Enumeration November 15, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801130901
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2012
Last Update: November 12, 2020
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.