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GIANNA VACCA
NPI 1790543718
Physician Assistant - Medical in Kingston, NY

Active since March 13, 2024PECOS EnrolledAccepts Medicare Assignment
360 WASHINGTON AVE, KINGSTON, NY 12401(845) 338-7410 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790543718
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameGIANNA VACCA
Location Address360 WASHINGTON AVEKingston, NY 12401-3702
Mailing Address80 Grandeville Ct Apt 1232Wakefield, RI 02879-8215 · (401) 680-2043
Phone(845) 338-7410
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 13, 2024
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1790543718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 034809
360 WASHINGTON AVE, Kingston, NY 12401
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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.

PECOS PAC ID9830683747
PECOS Enrollment IDI20251209001653
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.

Other Providers at the Same Location NPPES 16

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

ANDROMEDA RAINDANCE
Nurse Practitioner (Family)
360 WASHINGTON AVE
KINGSTON, NY 12401
Ulster County (845) 338-7140
DR. AARATHI NAGARAJA MD
Internal Medicine (Infectious Disease)
360 WASHINGTON AVE
KINGSTON, NY 12401
Ulster County (845) 338-7140
LUCIA MILLA MD
Internal Medicine (Rheumatology)
360 WASHINGTON AVE
KINGSTON, NY 12401
Ulster County (845) 338-7140
MARC TACK DO
Internal Medicine (Infectious Disease)
360 WASHINGTON AVE
KINGSTON, NY 12401
Ulster County (845) 338-7140
MICHAEL SKELLY MD
Internal Medicine (Infectious Disease)
360 WASHINGTON AVE
KINGSTON, NY 12401
Ulster County (845) 338-7140
MS. BETH A SAUBERMANN MSN, ANP
Nurse Practitioner (Adult Health)
360 WASHINGTON AVE
KINGSTON, NY 12401
Ulster County (845) 338-7140
MRS. NICOLE MARIE HACK FNP-BC
Nurse Practitioner (Family)
360 WASHINGTON AVE
KINGSTON, NY 12401
Ulster County (845) 338-7140
DR. CRAIG N MOSS MD
Internal Medicine
360 WASHINGTON AVE
KINGSTON, NY 12401
Ulster County (845) 338-7140

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.

When was this NPI record last updated?

The NPPES record for Gianna Vacca was last updated on October 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.