JENNA CAROLYN PHENICIE PA-C
NPI 1083322929
Physician Assistant in Middletown, CT

Active since November 09, 2022PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
520 SAYBROOK RD # 100B, MIDDLETOWN, CT 06457(860) 347-8850 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jenna Carolyn Phenicie Pa-c NPPES

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

JENNA CAROLYN PHENICIE PA-C (NPI 1083322929) is an individual physician assistant in Middletown, Connecticut and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083322929
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNA CAROLYN PHENICIECredential: PA-C
Location Address520 SAYBROOK RD # 100BMiddletown, CT 06457-4700
Mailing Address520 Saybrook Rd # 100bMiddletown, CT 06457-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 9, 2022
Last NPPES UpdateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
NPI 1083322929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

520 SAYBROOK RD # 100B, Middletown, CT 06457

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jenna Carolyn Phenicie Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335518307
PECOS Enrollment IDI20221214000348
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 06457 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality81.68
Promoting Interoperability100
Improvement Activities40

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083322929, enumerated as an "individual" on November 09, 2022.

The provider is located at 520 SAYBROOK RD # 100B MIDDLETOWN, CT 06457 and the phone number is (860) 347-8850.

Physician Assistant with taxonomy code 363A00000X.