MS. JACQUELYN ELISE PENNIE PA
NPI 1134536055
Physician Assistant in Dedham, MA

Q: What is Jacquelyn Pennie's NPI number?

The NPI number for Jacquelyn Pennie is 1134536055. It was assigned to this individual provider in the NPPES registry on July 14, 2014. The provider is also known as Ms. Jacquelyn Elise Desjardins PA.

Q: What is Jacquelyn Pennie's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Pennie was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 14, 2014PECOS EnrolledAccepts Medicare Assignment

1 LYONS ST, DEDHAM, MA 02026(508) 880-0012 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2021, Nov 4, 2016 (2 updates tracked since 2016).

On this page

About Ms. Jacquelyn Elise Pennie Pa NPPES

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

MS. JACQUELYN ELISE PENNIE PA (NPI 1134536055) is an individual physician assistant in Dedham, Massachusetts, licensed in Massachusetts (PA5064) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1134536055

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. JACQUELYN ELISE PENNIECredential: PA

Location Address1 LYONS STDedham, MA 02026-5599

Mailing Address1 Lyons Street, Atrius Health, IncBoston, MA 02026 · (617) 657-6495

Phone(508) 880-0012

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 14, 2014

Last NPPES UpdateSeptember 13, 20212 updates tracked since enumeration

NPPES CertifiedAugust 25, 2021

✔ NPI 1134536055 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 MA · PA5064

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.

1 LYONS ST, Dedham, MA 02026

Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Jacquelyn Elise Desjardins Pa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Ms. Jacquelyn Elise Pennie Pa 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 ID8123341831

PECOS Enrollment IDI20150106000105

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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

132 services47 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

53 services32 patients

Strapping, unna boot 29580

An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.

34 services15 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

24 services18 patients

Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm 11402

This procedure involves the removal of a noncancerous skin growth on the body, arms, or legs that is between 1.1 and 2.0 cm in size. It's a safe and routine procedure performed by a medical professional to improve your skin health and appearance.

22 services21 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less 12031

This procedure involves the repair of a wound that is located on the scalp, underarms, trunk, arms, or legs and is 2.5 cm or less in size. The repair is intermediate, meaning it's more complex than a simple closure, but not as extensive as a complex repair.

22 services22 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

19 services14 patients

Bacterial culture, any source, except blood, anaerobic 87075

A bacterial culture is a test that helps identify harmful bacteria in your body. In this procedure, a sample from any part of your body, except blood, is taken. The sample is placed in a special environment to encourage bacteria growth. It helps in diagnosing infections and determining the best treatment.

16 services12 patients

Special gram or giemsa stain for microorganism 87205

A special Gram or Giemsa stain is a laboratory technique used to identify microorganisms in a sample. This stain highlights the microorganisms, making them easier to see under a microscope. It's a crucial step in diagnosing various infections and diseases.

16 services12 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

14 services13 patients

Bacterial culture, any other source except urine, blood or stool, aerobic 87070

A bacterial culture is a test that helps identify harmful bacteria in your body. In this case, a sample from any part other than urine, blood or stool is collected. The sample is placed in a special environment to promote bacteria growth. It helps in diagnosing infections and determining the best treatment.

14 services11 patients

Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm 11401

This procedure involves the removal of a noncancerous skin growth on your body, arms, or legs. The growth is between 0.6-1.0 cm in size. It's typically a simple process where the growth is cut away and the area is then stitched up for healing.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02026 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209