KRISTINA POSS BOCCUCCI PA
NPI 1740769132
Physician Assistant in Watkinsville, GA

Q: What is Kristina Boccucci's NPI number?

The NPI number for Kristina Boccucci is 1740769132. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Q: What is Kristina Boccucci's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristina Boccucci was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since August 07, 2018PECOS EnrolledAccepts Medicare Assignment

1305 JENNINGS MILL RD BLDG 300-110, WATKINSVILLE, GA 30677(706) 613-5880 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2024, Sep 2, 2024, Jul 8, 2024 and 1 more (4 updates tracked since 2018).

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About Kristina Poss Boccucci Pa NPPES

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

KRISTINA POSS BOCCUCCI PA (NPI 1740769132) is an individual physician assistant in Watkinsville, Georgia, licensed in Georgia (12550) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Martinez, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1740769132

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKRISTINA POSS BOCCUCCICredential: PA

Location Address1305 JENNINGS MILL RD BLDG 300-110Watkinsville, GA 30677-7238

Mailing Address4234 Waylon DrMartinez, GA 30907-1346 · (404) 909-1220

Phone(706) 613-5880

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 7, 2018

Last NPPES UpdateNovember 5, 20244 updates tracked since enumeration

NPPES CertifiedNovember 5, 2024

✔ NPI 1740769132 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 GA · 12550

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 ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 12550 (GA)

1305 JENNINGS MILL RD BLDG 300-110, Watkinsville, GA 30677

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Secondary Practice Location 1

Location 14234 Waylon DrMartinez, GA 30907-1346 · Phone (404) 909-1220

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

Kristina Poss Boccucci Pa 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 ID5092240721

PECOS Enrollment IDI20241119000544

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 30677 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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 6

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

CAROLINE STEPHENS MILES PA-C, ATC, LAT

Physician Assistant