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

Individual provider Medical Physician Assistant · NPI 1952501942

Jason Charles Xynellis, PA-C is a Physician Assistant in Providence, Rhode Island. Qualified in 2007, 19 years ago. Practices with Oceanside Aesthetics, LLC, a 2-clinician group and offers telehealth. Licensed in Rhode Island.

Years since qualifying
19
Licensed in
RI
In the registry since
2007
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

1195 N Main St
Providence, RI 02904-1824
Phone: (401) 331-8555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA00501 (RI)

Record details

NPI number1952501942
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 19, 2007
Last updated in NPPESNovember 30, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Oceanside Aesthetics, Llc — 2 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Providence