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

Individual provider Physician Assistant · NPI 1063100873

Jacob Martin Beane, PA-C is a Physician Assistant in Cranston, Rhode Island. Qualified in 2023, 3 years ago. Practices with Coia Comprehensive Primary Care LLC, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
3
Licensed in
RI
In the registry since
2023
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

712 Oaklawn Ave
Cranston, RI 02920-2858
Phone: (401) 944-0044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 215 Toll Gate Rd Ste 104, Warwick, RI 02886-4463 — (401) 921-7290

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01574 (RI)

Record details

NPI number1063100873
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 28, 2023
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Coia Comprehensive Primary Care Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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