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Active NPI 1629436548 Individual Practitioner Male Practitioner

Jason David Villa , PA-C

Physician Assistant • Cranston, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jason Villa, PA-C is a certified Physician Assistant practicing in Cranston, RI. With approximately 11 years of clinical experience since completing medical education in 2015, Jason Villa delivers high-quality medical care to the local community at 1090 CRANSTON ST.

Jason Villa is affiliated with Comprehensive Community Action, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1090 Cranston St

Cranston, RI 029207323

Telephone 4019431981
Associated Practice Facility / Clinic

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 Cranston, RI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs +0.7 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
33 Specialists

Practicing in Cranston, RI (687 Statewide)

Telehealth Adoption Rate
24.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
89.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Villa (11 Years) 11 Yrs
Cranston Specialty Average (10.3 Years) 10.3 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
99284 Emergency department visit with moderate level of medical decision making
41 38 $953.23 $95.01
99285 Emergency department visit for life threatening or functioning severity
37 35 $1354.17 $138.56
83036 Hemoglobin A1C level
19 16 $75.00 $9.52

Medical Specialties & State Licenses

CMS Verified: 2025-12-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA00927

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License CT 23.003522

Definition to come...

Hospital & Practice Group Affiliations

Comprehensive Community Action, Inc.

1090 Cranston St, Cranston, RI 029207323

Phone: 4019431981

Secondary Practice Locations

825 Chalkstone Ave

Providence, RI 029084728

Phone: 4014562000

200 High Service Ave

North Providence, RI 029045113

Phone: 4014563000

Practice Associates & Co-Workers

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

12 Associated Practitioners
Carol Millan , APNC

Nurse Practitioner - Family

NPI 1205057890
Yanil Garcia , MSW, LCSW

Social Worker - Clinical

NPI 1245177070

Master of Social Work, Licensed Clinical Social Worker

Nicholas Leyden

Social Worker - Clinical

NPI 1326872193
Jessica Anderson , LCSW

Social Worker - Clinical

NPI 1417606898

Licensed Clinical Social Worker

Dr. Usman Fazli , DMD

Dentist - General Practice

NPI 1497838106

Doctor of Dental Medicine

Anne Sedlock , FNP-BC

Nurse Practitioner - Family

NPI 1508101742

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2025

Physician Assistant (License #PA00927 in RI)

📍
Updated Practice Location March 21, 2023

Registered at 1090 CRANSTON ST, CRANSTON, RI 029207323 (Tel: 4019431981)

📍
Updated Business Mailing Address March 21, 2023

Registered at 1090 CRANSTON ST, CRANSTON, RI 029207323 (Tel: 0194319814)

👤
Provider Name / Credentials Updated March 21, 2023

Recorded as JASON VILLA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2023

Physician Assistant (License #23.003522 in CT)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2018

Physician Assistant (License #PA00927 in RI)

NPI Profile Active February 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2016

Registered at 2701 TAMARACK AVE, SOUTH WINDSOR, CT 060745561 (Tel: 8603755141)

📍
Updated Business Mailing Address February 06, 2016

Registered at 2701 TAMARACK AVE, SOUTH WINDSOR, CT 060745561 (Tel: 8603755141)

👤
Provider Name / Credentials Updated February 06, 2016

Recorded as JASON VILLA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2016

Physician Assistant (License #23.003522 in CT)

🟢
Initial NPI Registration & Enumeration February 06, 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: 1629436548
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2016
Last Update: December 01, 2025
Sole Proprietor: Yes

Mailing Address

1090 Cranston St

Cranston, RI 029207323

Phone: 0194319814

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.