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

Jessica Van Lith

Individual provider Physician Assistant · NPI 1689415630

Jessica Van Lith is a Physician Assistant in Boston, Massachusetts. Graduated from Oregon Health Sciences University School of Medicine in 2025, 1 year ago. Works from 2 locations. Licensed in Massachusetts.

Years since qualifying
1
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
MA
In the registry since
2024
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Practice location Address checks out

450 Brookline Ave
Boston, MA 02215-5450
Phone: (617) 632-3352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2730 S Moody Ave, Portland, OR 97201-5042 — (602) 819-9123

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA102164 (MA)

Record details

NPI number1689415630
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address450 Brookline Ave, Boston, MA 02215-5450

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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