Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jennifer Shannon Patoulidis, PA

Individual provider Medical Physician Assistant · NPI 1689976011

Jennifer Shannon Patoulidis, PA is a Physician Assistant in Boston, Massachusetts. Qualified in 2010, 16 years ago. Practices with New England Medical Center Group Practice Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
16
Licensed in
MA
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

800 Washington St Neurology Dept
Boston, MA 02111-1552 Not confirmed with CMS for 11 years — call before visiting
Phone: (617) 636-8488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA4082 (MA)

Record details

NPI number1689976011
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 17, 2010
Last updated in NPPESAugust 25, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice New England Medical Center Group Practice Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients52
Services billed 95 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at New England Medical Center Group Practice Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 30 clinicians in the practice; 12 are shown here.

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