JENNIFER A CASTELLUCCIO PAC
NPI 1679561435
Physician Assistant in Maple Valley, WA

Q: What is Jennifer Castelluccio's NPI number?

The NPI number for Jennifer Castelluccio is 1679561435. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Q: What is Jennifer Castelluccio's specialty?

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

Active since October 06, 2005PECOS Enrolled

26458 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY, WA 98038(425) 690-3460(425) 690-9460 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer A Castelluccio Pac NPPES

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

JENNIFER A CASTELLUCCIO PAC (NPI 1679561435) is an individual physician assistant in Maple Valley, Washington, licensed in Washington (OA10000132) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679561435

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJENNIFER A CASTELLUCCIOCredential: PAC

Location Address26458 MAPLE VALLEY BLACK DIAMOND RD SEMaple Valley, WA 98038

Mailing Address3600 Lind Ave Sw, Suite 100 Attn CredentialingRenton, WA 98057-4970 · (425) 690-2715

Phone(425) 690-3460

Fax(425) 690-9460

Sole ProprietorNo

Enumeration DateOctober 6, 2005

Last NPPES UpdateAugust 17, 2021

NPPES CertifiedAugust 17, 2021

✔ NPI 1679561435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WA · OA10000132

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License OA10000132 (WA)

26458 MAPLE VALLEY BLACK DIAMOND RD SE, Maple Valley, WA 98038

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Other Identifiers 1

Medicaid1016090WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer A Castelluccio Pac 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 98038 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

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 10

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

KRISTEN ELIZABETH DRURY PA-C

Physician Assistant (Medical)