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JACQUELINE A O'SHEA P.A.
NPI 1174089742
Physician Assistant in Latham, NY

Active since February 19, 2019PECOS EnrolledAccepts Medicare Assignment
80.06/100
CMS Quality Rating
6 WELLNESS WAY STE 111, LATHAM, NY 12110(518) 213-0227(518) 782-3816 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2022, Feb 19, 2019 (2 updates tracked since 2019).

About Jacqueline A O'shea P.a. NPPES

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

JACQUELINE A O'SHEA P.A. (NPI 1174089742) is an individual physician assistant in Latham, New York, licensed in New York (023273-1) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174089742
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELINE A O'SHEACredential: P.A.
Location Address6 WELLNESS WAY STE 111Latham, NY 12110-2156
Mailing Address6 Wellness Way Ste 201Latham, NY 12110-2156 · (518) 782-3700 · Fax (518) 782-3799
Phone(518) 213-0227
Fax(518) 782-3816
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 19, 2019
Last NPPES UpdateJanuary 29, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
✔ NPI 1174089742 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 · 023273-1
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.
6 WELLNESS WAY STE 111, Latham, NY 12110
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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

Jacqueline A O'shea P.a. 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 ID1254672942
PECOS Enrollment IDI20190405001698
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 2

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.

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.
34 services32 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

80.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.13
Improvement Activities40
Cost60.81

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL REPICKY PA-C
Physician Assistant
6 WELLNESS WAY STE 111
LATHAM, NY 12110
Albany County (518) 213-0227
KIMBERLY ANN COLLEN PA
Physician Assistant
6 WELLNESS WAY STE 111
LATHAM, NY 12110
Albany County (518) 213-0227
TATIANA SAZON MD
Family Medicine
6 WELLNESS WAY STE 111
LATHAM, NY 12110
Albany County (518) 213-0227
ALEXANDR CHESLAWOVICH SAZON M.D.
Family Medicine
6 WELLNESS WAY STE 111
LATHAM, NY 12110
Albany County (518) 213-0227
COMMUNITY CARE PHYSICIANS, PC
Family Medicine
6 WELLNESS WAY STE 111
LATHAM, NY 12110
Albany County (518) 213-0227
OLEKSIY LOYTRA DO
Family Medicine
6 WELLNESS WAY STE 111
LATHAM, NY 12110
Albany County (518) 213-0227

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 Jacqueline O'shea's NPI number?

The NPI number for Jacqueline O'shea is 1174089742. It was assigned to this individual provider in the NPPES registry on February 19, 2019.

Where is Jacqueline O'shea located?

Jacqueline O'shea practices at 6 Wellness Way Ste 111, Latham, NY 12110. The listed phone number is (518) 213-0227.

What is Jacqueline O'shea's specialty?

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

Is Jacqueline O'shea enrolled in Medicare?

Yes. Jacqueline O'shea is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacqueline O'shea was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.