JACQUELYNN M DIMUCCIO PA-C
NPI 1275155574
Physician Assistant in Cranston, RI

Q: What is Jacquelynn Dimuccio's NPI number?

The NPI number for Jacquelynn Dimuccio is 1275155574. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Q: What is Jacquelynn Dimuccio's specialty?

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

Active since May 11, 2020PECOS EnrolledAccepts Medicare Assignment

1150 RESERVOIR AVE STE 203, CRANSTON, RI 02920(401) 259-0340 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2020, Sep 29, 2020, Jul 28, 2020 and 2 more (5 updates tracked since 2020).

On this page

About Jacquelynn M Dimuccio Pa-c NPPES

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

JACQUELYNN M DIMUCCIO PA-C (NPI 1275155574) is an individual physician assistant in Cranston, Rhode Island, licensed in Rhode Island (PA01239) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chepachet, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1275155574

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJACQUELYNN M DIMUCCIOCredential: PA-C

Location Address1150 RESERVOIR AVE STE 203Cranston, RI 02920-6043

Mailing Address1150 Reservoir Ave Ste 203Cranston, RI 02920-6043 · (401) 259-0340

Phone(401) 259-0340

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 11, 2020

Last NPPES UpdateOctober 6, 20205 updates tracked since enumeration

NPPES CertifiedOctober 6, 2020

✔ NPI 1275155574 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 RI · PA01239

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.

1150 RESERVOIR AVE STE 203, Cranston, RI 02920

Open in Google Maps ↗

Secondary Practice Location 1

Location 1712 Putnam Pike Unit 2Chepachet, RI 02814-1404 · Phone (401) 710-4280

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Jacquelynn M Dimuccio 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 ID5991124646

PECOS Enrollment IDI20200929002047

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 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.

120 services16 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

54 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02920 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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.

Other Providers at the Same Location NPPES 20

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

REBECCA STEVENSON APRN

Nurse Practitioner (Psychiatric/Mental Health)