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

Jena Lois Wise, PA-C

Individual provider Registered Dietitian · NPI 1841711132

Jena Lois Wise, PA-C is a Physician Assistant in Worcester, Massachusetts. Qualified in 2022, 4 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2017
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

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (774) 441-6468
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 330 Brookline Ave, Boston, MA 02215-5400 — (617) 667-7000
  • 119 Belmont St, Worcester, MA 01605-2903 — (774) 441-6468

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9233 (MA)
Registered Dietitian Taxonomy 133V00000X · Licence 4295 (MA)

Record details

NPI number1841711132
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 28, 2017
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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