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MRS. JACQUELINE MARY MCCULLOUGH MS RD CDN
NPI 1356312771
Internal Medicine - Cardiovascular Disease in Hamden, CT

Active since February 01, 2006Accepts Medicare Assignment
2200 WHITNEY AVE, SUITE 180, HAMDEN, CT 06518(203) 407-2500(203) 407-5812 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Jacqueline Mary Mccullough Ms Rd Cdn NPPES

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

MRS. JACQUELINE MARY MCCULLOUGH MS RD CDN (NPI 1356312771) is an individual cardiovascular disease provider in Hamden, Connecticut, licensed in Connecticut (000730) and active in the NPI registry since February 2006. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1356312771
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameMRS. JACQUELINE MARY MCCULLOUGHCredential: MS RD CDN
Location Address2200 WHITNEY AVE, SUITE 180Hamden, CT 06518-3691
Mailing Address2470 Boston Post Rd, Suite 180Guilford, CT 06437-1467 · (203) 407-2500 · Fax (203) 407-5812
Phone(203) 407-2500
Fax(203) 407-5812
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 1, 2006
Last NPPES UpdateSeptember 19, 2016
✔ NPI 1356312771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CT · 000730
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2200 WHITNEY AVE, Hamden, CT 06518
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified710000183CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jacqueline Mary Mccullough Ms Rd Cdn 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 ID3779507868
PECOS Enrollment IDI20060117000106

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Mccullough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jmm Wellness, LLC
0.5 mi
Dietitian, Registered
1952 WHITNEY AVE
Hamden, CT 06517
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1023364981 (203) 641-3574

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06518 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
$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.

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.

RICARDO F CORDIDO MD
Internal Medicine (Cardiovascular Disease)
2200 WHITNEY AVE, SUITE 180
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 407-2500
JENNIFER SU THOMPSON MD
Internal Medicine (Gastroenterology)
2200 WHITNEY AVE, SUITE 360
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 281-4463
MR. MARIAN E VULPE MD
Internal Medicine (Cardiovascular Disease)
2200 WHITNEY AVE, STE 180
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 407-2500
GASTROENTEROLOGY CENTER OF CONNECTICUT, PC
Internal Medicine (Gastroenterology)
2200 WHITNEY AVE, SUITE 360
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 281-4463
LYNDA A. ROMITA CPNP
Nurse Practitioner (Pediatrics)
2200 WHITNEY AVE, SUITE 240
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 287-5400
CHRISTINE SALAMIDA
Nurse Practitioner (Family)
2200 WHITNEY AVE, SUITE 360
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 281-4463
DR. MARK JEFFREY SCHPERO D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
2200 WHITNEY AVE, SUITE 250
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 288-7273
SAMANTHA RADIN RD, CD-N
Dietitian, Registered
2200 WHITNEY AVE, SUITE 180
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 407-2500

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 Mccullough's NPI number?

The NPI number for Jacqueline Mccullough is 1356312771. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Jacqueline Mccullough located?

Jacqueline Mccullough practices at 2200 Whitney Ave Suite 180, Hamden, CT 06518. The listed phone number is (203) 407-2500.

What is Jacqueline Mccullough's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jacqueline Mccullough enrolled in Medicare?

Yes. Jacqueline Mccullough 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.

Which organization bills Medicare for Jacqueline Mccullough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Mccullough reassigns Medicare benefits to Jmm Wellness, LLC (Hamden, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Mccullough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Mccullough was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.