Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacklyn Marie Reis, PA-C

Individual provider Physician Assistant · NPI 1689233827

Jacklyn Marie Reis, PA-C is a Physician Assistant in East Providence, Rhode Island. Qualified in 2019, 7 years ago. Practices with Urgi Center Medical Group, a 83-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
7
Licensed in
RI
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

450 Veterans Memorial Pkwy Bldg 10
East Providence, RI 02914-5300
Phone: (401) 438-6888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 593 Eddy St, Providence, RI 02903-4923 — (401) 444-4000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01151 (RI)

Record details

NPI number1689233827
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 11, 2019
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Urgi Center Medical Group — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in East Providence