Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jenna Mut

Individual provider Physician Assistant · NPI 1891267779

Jenna Mut is a Physician Assistant in Providence, Rhode Island. Works from 2 locations. Licensed in Rhode Island and Washington.

Licensed in
RI, WA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

593 Eddy Street Claverick 2
Providence, RI 02903
Phone: (401) 444-4000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 — (253) 596-3300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01677 (RI)
Physician Assistant Taxonomy 363A00000X · Licence PA60923118 (WA)

Record details

NPI number1891267779
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 17, 2018
Last updated in NPPESJuly 30, 2024
Certification dateJuly 22, 2024

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients54
Services billed 64 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Other providers in Providence