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JACQUELINE NICOLE PEREZ PA
NPI 1407108558
Physician Assistant in Avon, CT

Active since October 12, 2012PECOS Enrolled
84.95/100
CMS Quality Rating

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 7, 2020, Oct 21, 2019 (2 updates tracked since 2019).

About Jacqueline Nicole Perez Pa NPPES

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

JACQUELINE NICOLE PEREZ PA (NPI 1407108558) is an individual physician assistant in Avon, Connecticut, licensed in Connecticut (4631) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1407108558
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELINE NICOLE PEREZCredential: PA
Location Address385 W MAIN STAvon, CT 06001-4357
Mailing AddressPo Box 44008, Ufjax - Provider EnrollmentJacksonville, FL 32231-4008 · (904) 244-3199 · Fax (904) 244-3425
Phone(860) 777-1280
Sole ProprietorNo
Enumeration DateOctober 12, 2012
Last NPPES UpdateMay 7, 20202 updates tracked since enumeration
NPPES CertifiedMay 7, 2020
✔ NPI 1407108558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CT · 4631✔ Licensed in FL · PA9106924✔ Licensed in WA · 60363705
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.
385 W MAIN ST, Avon, CT 06001
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Secondary Practice Location 1

Location 1580 W 8th St, UFJAX - Dept. of NeurosurgeryJacksonville, FL 32209-6533 · Phone (904) 244-3950 · Fax (904) 244-9437

Other Identifiers 3

Medicaid007207500FL
Medicaid003128788AGA
Other004613CT · Ct Lic

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Nicole Perez Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06001 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
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.

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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.13
Promoting Interoperability100
Improvement Activities40
Cost54.54

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.

MRS. KRISTI XHAXHO KRIKRIS PHYSICIAN ASSISTANT
Physician Assistant
385 W MAIN ST
AVON, CT 06001
Capitol Planning Region (860) 777-1280
MR. DAVID YARBROUGH APRN
Nurse Practitioner (Family)
385 W MAIN ST
AVON, CT 06001
Capitol Planning Region (860) 777-1280
MRS. SARAH DEAN APRN
Nurse Practitioner (Family)
385 W MAIN ST
AVON, CT 06001
Capitol Planning Region (860) 777-1280
MARLEY JEAN BINKOWSKI
Physician Assistant
385 W MAIN ST
AVON, CT 06001
Capitol Planning Region (860) 777-1280
ERIKA K. THOMPSON P.A.
Physician Assistant
385 W MAIN ST
AVON, CT 06001
Capitol Planning Region (860) 777-1280
HARTFORD HEALTHCARE URGENT CARE CENTERS, LLC
Clinic/Center (Urgent Care)
385 W MAIN ST
AVON, CT 06001
Capitol Planning Region (860) 777-1280
KATE-LYN BIRCHELL APRN
Nurse Practitioner
385 W MAIN ST
AVON, CT 06001
Capitol Planning Region (860) 777-1280
MINOUFA LESPERANCE
Student in an Organized Health Care Education/Training Program
385 W MAIN ST
AVON, CT 06001
Capitol Planning Region (860) 777-1280

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 Perez's NPI number?

The NPI number for Jacqueline Perez is 1407108558. It was assigned to this individual provider in the NPPES registry on October 12, 2012.

Where is Jacqueline Perez located?

Jacqueline Perez practices at 385 W Main St, Avon, CT 06001. The listed phone number is (860) 777-1280.

What is Jacqueline Perez's specialty?

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

Is Jacqueline Perez enrolled in Medicare?

Yes. Jacqueline Perez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Perez was last updated on May 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.