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Active NPI 1467904078 Individual Practitioner Male Practitioner

Jacob Paul Donovan , PA-C

Physician Assistant • Derry, NH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacob Donovan, PA-C is a certified Physician Assistant practicing in Derry, NH. With approximately 11 years of clinical experience since completing medical education in 2015, Jacob Donovan delivers high-quality medical care to the local community at 6 TSIENNETO RD STE 100.

Jacob Donovan is affiliated with Derry Medical Center, Pa and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

6 Tsienneto Rd Ste 100

Derry, NH 03038

Telephone 6035371300
Associated Practice Facility / Clinic
🏢 Derry Medical Center, Pa Facility NPI 1922030493

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Derry, NH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -4.4 yrs vs City Avg
City Avg: 15.4 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
20 Specialists

Practicing in Derry, NH (954 Statewide)

Telehealth Adoption Rate
30.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Donovan (11 Years) 11 Yrs
Derry Specialty Average (15.4 Years) 15.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-11-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NH 1220

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

Derry Medical Center, Pa

6 Tsienneto Rd, Derry, NH 030381584

Phone: 6035371300

Practice Associates & Co-Workers

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

40 Associated Practitioners
Valerie Piper , LCMHC

Counselor - Mental Health

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Licensed Clinical Mental Health Counselor

Emma Dono , PA-C

Physician Assistant

NPI 1013245240

Physician Assistant (Certified)

Ashley Blazon , APRN

Nurse Practitioner - Family

NPI 1013504760

Advanced Practice Registered Nurse

Michelle O'mahony , PA

Physician Assistant - Medical

NPI 1023088556

Physician Assistant

NPI 1023088812

Doctor of Medicine (M.D.)

Dr. Elena Luchanok , MD

Psychiatry & Neurology - Psychiatry

NPI 1033311626

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2023

Physician Assistant (License #1220 in NH)

📍
Updated Practice Location August 08, 2018

Registered at 6 TSIENNETO RD STE 100, DERRY, NH 03038 (Tel: 6035371300)

📍
Updated Business Mailing Address August 08, 2018

Registered at 6 BUTTRICK RD STE 102, LONDONDERRY, NH 030533417 (Tel: 6035371300)

NPI Profile Active October 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2016

Registered at 6 TSIENNETO RD STE 100, DERRY, NH 030381584 (Tel: 6035371300)

📍
Updated Business Mailing Address October 30, 2016

Registered at 261 MIDDLE RD, DEERFIELD, NH 030371716 (Tel: 6033700744)

👤
Provider Name / Credentials Updated October 30, 2016

Recorded as JACOB DONOVAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2016

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 30, 2016

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: 1467904078
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2016
Last Update: November 13, 2023
Sole Proprietor: No

Mailing Address

6 Buttrick Rd Ste 102

Londonderry, NH 030533417

Phone: 6035371300

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.