MRS. JACQUELINE MCSALLY PA-C
NPI 1417415084
Physician Assistant - Surgical in Trumbull, CT

Q: What is Jacqueline Mcsally's NPI number?

The NPI number for Jacqueline Mcsally is 1417415084. It was assigned to this individual provider in the NPPES registry on March 3, 2019. The provider is also known as Jacqueline Mcsally Donaldson.

Q: What is Jacqueline Mcsally's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since March 03, 2019PECOS EnrolledAccepts Medicare Assignment

5520 PARK AVE, TRUMBULL, CT 06611(203) 261-7262 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2025, Jul 18, 2024, Jun 12, 2024 and 4 more (7 updates tracked since 2019).

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About Mrs. Jacqueline Mcsally Pa-c NPPES

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

MRS. JACQUELINE MCSALLY PA-C (NPI 1417415084) is an individual surgical provider in Trumbull, Connecticut, licensed in Connecticut (6876) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bridgeport, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417415084

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. JACQUELINE MCSALLYCredential: PA-C

Location Address5520 PARK AVETrumbull, CT 06611-3463

Mailing Address1290 Silas Deane Hwy, Hhc CvoWethersfield, CT 06109-4337 · (860) 972-5507 · Fax (860) 972-7040

Phone(203) 261-7262

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 3, 2019

Last NPPES UpdateOctober 7, 20257 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1417415084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CT · 6876

Also ListedPhysician AssistantTaxonomy 363A00000X · License 7737-023 (WI), 0010-08914 (NC)

5520 PARK AVE, Trumbull, CT 06611

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Other Names 1

Former Name (1)Jacqueline Mcsally Donaldson

Secondary Practice Location 1

Location 12800 Main StBridgeport, CT 06606-4201 · Phone (475) 210-5436 · Fax (475) 210-6512

Other Identifiers 3

Other1159850National Commission On Certification Of Physician Assistants (nccpa)

Other110-622-459American Academy Of Pas (aapa)

Medicaid100274093WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Mrs. Jacqueline Mcsally 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 ID3173857521

PECOS Enrollment IDI20250516002297

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 5

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.

70 services69 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

23 services23 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.

17 services17 patients

Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U

This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.

13 services13 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

13 services13 patients

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.

SUSANNA DAHL CRONMILLER F.N.P, APRN

Nurse Practitioner (Family)

5520 PARK AVE
TRUMBULL, CT 06611

Greater Bridgeport Planning Region (203) 502-8400

MRS. ALEXIS GRACE SHAUB PA

Physician Assistant (Medical)

5520 PARK AVE
TRUMBULL, CT 06611

Greater Bridgeport Planning Region (203) 502-8400

DR. TIMOTHY JOHN HEITZMAN PH.D.

Psychologist

5520 PARK AVE, SUITE 206
TRUMBULL, CT 06611

Greater Bridgeport Planning Region (203) 612-0908

JENNIFER ZHANG APRN

Nurse Practitioner (Family)

5520 PARK AVE
TRUMBULL, CT 06611

Greater Bridgeport Planning Region (203) 502-8400

KATHERINE AILEEN DUARTE APRN

Nurse Practitioner (Community Health)

5520 PARK AVE
TRUMBULL, CT 06611

Greater Bridgeport Planning Region (203) 372-6700

ROBIN BERGER MD

Obstetrics & Gynecology

5520 PARK AVE, SUITE 302
TRUMBULL, CT 06611

Greater Bridgeport Planning Region (203) 374-1018

CONNECTICUT PAIN CARE, P.C.

Specialist

5520 PARK AVE, SUITE 303
TRUMBULL, CT 06611

Greater Bridgeport Planning Region (203) 373-7330

DR. KERRY WRIGHT D.O.

Obstetrics & Gynecology

5520 PARK AVE, SUITE 302
TRUMBULL, CT 06611

Greater Bridgeport Planning Region (845) 418-0763

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 Mcsally's NPI number?

The NPI number for Jacqueline Mcsally is 1417415084. It was assigned to this individual provider in the NPPES registry on March 3, 2019. The provider is also known as Jacqueline Mcsally Donaldson.

Where is Jacqueline Mcsally located?

Jacqueline Mcsally practices at 5520 Park Ave, Trumbull, CT 06611. The listed phone number is (203) 261-7262.

What is Jacqueline Mcsally's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jacqueline Mcsally enrolled in Medicare?

Yes. Jacqueline Mcsally 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.

What insurance does Jacqueline Mcsally accept?

Health plans from CareSource (Common Ground Healthcare) list Jacqueline Mcsally as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Mcsally was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.