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

Individual provider Surgical Physician Assistant · NPI 1518003474

Jason Pelletier, PA-C is a Physician Assistant in Providence, Rhode Island. Qualified in 2006, 20 years ago. Practices with Rhode Island Hospital, a 428-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
20
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

593 Eddy St Ste 101
Providence, RI 02903-4923
Phone: (014) 447-5854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Dudley St, Providence, RI 02905-3236 — (401) 444-5891

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA01510 (RI)

Record details

NPI number1518003474
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 29, 2007
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Rhode Island Hospital — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence