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

Jessica Leeanne Pietersen, PA-C

Individual provider Physician Assistant · NPI 1811689342

Jessica Leeanne Pietersen, PA-C is a Physician Assistant in Pascoag, Rhode Island. Qualified in 2022, 4 years ago. Practices with Northwest Community Health Care, a 36-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
4
Licensed in
RI
In the registry since
2023
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

36 Bridge Way
Pascoag, RI 02859-3131
Phone: (401) 567-0800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01587 (RI)

Record details

NPI number1811689342
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 23, 2023
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023

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 Northwest Community Health Care — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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