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MRS. JILLIAN ROSE MCNULTY P.A.
NPI 1043628068
Physician Assistant in Chappaqua, NY

Active since July 23, 2014PECOS Enrolled
480 SOUTH BEDFORD ROAD, CHAPPAQUA, NY 10514(914) 458-8863(914) 458-8764 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2023, Mar 1, 2018 (2 updates tracked since 2018).

About Mrs. Jillian Rose Mcnulty P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JILLIAN ROSE MCNULTY P.A. (NPI 1043628068) is an individual physician assistant in Chappaqua, New York, licensed in New York (017781) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043628068
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. JILLIAN ROSE MCNULTYCredential: P.A.
Location Address480 SOUTH BEDFORD ROADChappaqua, NY 10514
Mailing Address480 South Bedford Road, Pre-surgical Testing Building CChappaqua, NY 10514 · (914) 458-8850 · Fax (914) 458-8764
Phone(914) 458-8863
Fax(914) 458-8764
Sole ProprietorYes
Enumeration DateJuly 23, 2014
Last NPPES UpdateJanuary 12, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
✔ NPI 1043628068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 017781
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
480 SOUTH BEDFORD ROAD, Chappaqua, NY 10514
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Other Names 1

Former Name (1)Ms. Jillian Rose Spallina P.a.

Other Identifiers 1

Other13781002NY · Caqh

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jillian Rose Mcnulty P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10514 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jillian Mcnulty's NPI number?

The NPI number for Jillian Mcnulty is 1043628068. It was assigned to this individual provider in the NPPES registry on July 23, 2014. The provider is also known as Ms. Jillian Rose Spallina P.A..

Where is Jillian Mcnulty located?

Jillian Mcnulty practices at 480 South Bedford Road, Chappaqua, NY 10514. The listed phone number is (914) 458-8863.

What is Jillian Mcnulty's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jillian Mcnulty enrolled in Medicare?

Yes. Jillian Mcnulty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jillian Mcnulty was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.