GIANNA VACCA
NPI 1790543718
Physician Assistant - Medical in Kingston, NY
About Gianna Vacca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GIANNA VACCA (NPI 1790543718) is an individual medical provider in Kingston, New York, licensed in New York (034809) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Healthalliance Hospital Marys Avenue Campus, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Gianna Vacca 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Healthalliance Hospital Marys Avenue Campus
Acute Care Hospitals · Kingston, NYOther Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KINGSTON, NY 12401
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 Gianna Vacca's NPI number?
The NPI number for Gianna Vacca is 1790543718. It was assigned to this individual provider in the NPPES registry on March 13, 2024.
Where is Gianna Vacca located?
Gianna Vacca practices at 360 Washington Ave, Kingston, NY 12401. The listed phone number is (845) 338-7410.
What is Gianna Vacca's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Gianna Vacca enrolled in Medicare?
Yes. Gianna Vacca 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.
Is Gianna Vacca affiliated with any hospitals?
According to CMS data, Gianna Vacca is affiliated with Healthalliance Hospital Marys Avenue Campus.
When was this NPI record last updated?
The NPPES record for Gianna Vacca was last updated on October 20, 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.
# Gianna Vacca · NPI 1790543718
Medical physician in Kingston, New York. Individual provider, active in the CMS NPPES registry since March 13, 2024.
## Identity
- **NPI:** 1790543718 (Entity type: Individual)
- **Enumerated:** March 13, 2024
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 034809 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 360 WASHINGTON AVE, Kingston, NY 12401-3702
- **Phone:** (845) 338-7410
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 20, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1790543718) · Data from the CMS NPPES public registry.