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

Jessica May Bautista

Individual provider Physician Assistant · NPI 1659007052

Jessica May Bautista is a Physician Assistant in New Haven, Connecticut. Qualified in 2021, 5 years ago. Practices with Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou, an 11-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
5
In the registry since
2022
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Practice location Address checks out

1 Long Wharf Dr Ste 302
New Haven, CT 06511-5593
Phone: (203) 777-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1659007052
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 27, 2022
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in New Haven