Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jena Faeorest, PA-C

Individual provider Physician Assistant · NPI 1477141455

Jena Faeorest, PA-C is a Physician Assistant in Brockton, Massachusetts. Qualified in 2020, 6 years ago. Practices with Coastal Medical Associates, a 446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2021
Specialties on file
2
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

680 Centre St
Brockton, MA 02302-3308
Phone: (508) 941-7299
Fax: (508) 941-6299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 88 Newport St Unit 3, Arlington, MA 02476-7828 — (979) 602-5304

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA7908 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PAT0087 (MA)

Record details

NPI number1477141455
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 6, 2021
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Coastal Medical Associates — 446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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