JACKILYN ANNELLI PA
NPI 1245085315
Internal Medicine - Rheumatology in Norwich, CT

Active since April 22, 2024PECOS EnrolledAccepts Medicare Assignment
12 CASE ST STE 212, NORWICH, CT 06360(860) 859-9123(860) 859-9124 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackilyn Annelli Pa NPPES

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

JACKILYN ANNELLI PA (NPI 1245085315) is an individual rheumatology provider in Norwich, Connecticut, licensed in Connecticut (6548) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1245085315
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameJACKILYN ANNELLICredential: PA
Location Address12 CASE ST STE 212Norwich, CT 06360-2222
Mailing Address12 Case St Ste 212Norwich, CT 06360-2222 · (860) 859-9123 · Fax (860) 859-9124
Fax(860) 859-9124
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 22, 2024
NPPES CertifiedApril 22, 2024
NPI 1245085315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in CT · 6548
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
12 CASE ST STE 212, Norwich, CT 06360

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Jackilyn Annelli 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 ID9436591500
PECOS Enrollment IDI20240522000074
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06360 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Internal Medicine (Rheumatology)
12 CASE ST STE 212
NORWICH, CT 06360

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 Jackilyn Annelli's NPI number?

The NPI number for Jackilyn Annelli is 1245085315. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Jackilyn Annelli located?

Jackilyn Annelli practices at 12 Case St Ste 212, Norwich, CT 06360. The listed phone number is (860) 859-9123.

What is Jackilyn Annelli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Jackilyn Annelli enrolled in Medicare?

Yes. Jackilyn Annelli 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.

Is Jackilyn Annelli affiliated with any hospitals?

According to CMS data, Jackilyn Annelli is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Jackilyn Annelli was last updated on April 22, 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.