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

Individual provider Medical Physician Assistant · NPI 1689976011

Jennifer Shannon Patoulidis, PA is a Physician Assistant in Boston, Massachusetts. Qualified in 2010, 16 years ago. Practices with New England Medical Center Group Practice Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
16
Licensed in
MA
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

800 Washington St Neurology Dept
Boston, MA 02111-1552
Phone: (617) 636-8488
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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 PA4082 (MA)

Record details

NPI number1689976011
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 17, 2010
Last updated in NPPESAugust 25, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice New England Medical Center Group Practice Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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