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MISS JESSICA GONZALEZ PA-C
NPI 1619367141
Physician Assistant in Derby, CT

Active since February 04, 2015PECOS Enrolled
130 DIVISION ST, DERBY, CT 06418(203) 732-7252(203) 732-1539 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2023, Apr 11, 2019, Mar 21, 2019 and 3 more (6 updates tracked since 2017).

About Miss Jessica Gonzalez Pa-c NPPES

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

MISS JESSICA GONZALEZ PA-C (NPI 1619367141) is an individual physician assistant in Derby, Connecticut, licensed in Connecticut (3294) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619367141
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS JESSICA GONZALEZCredential: PA-C
Location Address130 DIVISION STDerby, CT 06418-1326
Mailing Address67 Maple AveDerby, CT 06418-1328
Phone(203) 732-7252
Fax(203) 732-1539
Sole ProprietorNo
Enumeration DateFebruary 4, 2015
Last NPPES UpdateMarch 1, 20236 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1619367141 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 CT · 3294
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.
130 DIVISION ST, Derby, CT 06418
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Other Names 1

Former Name (1)Jessica Lavacca Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Jessica Gonzalez Pa-c 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 06418 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.

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. CHRISTINA ERNST MS,RD,CDN
Dietitian, Registered
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7579
STACEY LEARY RD, CDN, CNSC
Dietitian, Registered
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7585
GENEVIEVE CECILE KELA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7327
DR. DWAYNE ALANSIER HALL DNP
Nurse Practitioner
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-7421
DR. SYBIL CHENG D.O.
Emergency Medicine (Emergency Medical Services)
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7403
PETER J. INTEGLIA CRNA
Nurse Anesthetist, Certified Registered
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-6493
RORY V CONDON MSN, MA
Nurse Practitioner (Psychiatric/Mental Health)
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 887-0604
TRENT GARCIA MD
Student in an Organized Health Care Education/Training Program
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-7421

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 Jessica Gonzalez's NPI number?

The NPI number for Jessica Gonzalez is 1619367141. It was assigned to this individual provider in the NPPES registry on February 4, 2015. The provider is also known as Jessica Lavacca Pa-C.

Where is Jessica Gonzalez located?

Jessica Gonzalez practices at 130 Division St, Derby, CT 06418. The listed phone number is (203) 732-7252.

What is Jessica Gonzalez's specialty?

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

Is Jessica Gonzalez enrolled in Medicare?

Yes. Jessica Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Gonzalez was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.