VIRGINIA MCCULLOUGH PA
NPI 1811039662
Physician Assistant - Medical in Jamaica Plain, MA

Active since February 12, 2007PECOS Enrolled
170 MORTON ST, JAMAICA PLAIN, MA 02130(617) 971-3788 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Virginia Mccullough Pa NPPES

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

VIRGINIA MCCULLOUGH PA (NPI 1811039662) is an individual medical provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (512) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811039662
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameVIRGINIA MCCULLOUGHCredential: PA
Location Address170 MORTON STJamaica Plain, MA 02130-3735
Mailing Address170 Morton StJamaica Plain, MA 02130-3735 · (617) 971-3788
Sole ProprietorNo
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1811039662 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 MA · 512
170 MORTON ST, Jamaica Plain, MA 02130

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Virginia Mccullough Pa 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.

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.

Student in an Organized Health Care Education/Training Program
170 MORTON ST
BOSTON, MA 02130
Case Manager/Care Coordinator
170 MORTON ST
JAMAICA PLAIN, MA 02130
Social Worker (Clinical)
170 MORTON ST
BOSTON, MA 02130
Psychiatry & Neurology (Psychiatry)
170 MORTON ST
JAMAICA PLAIN, MA 02130
Counselor
170 MORTON ST
JAMAICA PLAIN, MA 02130
Audiologist
170 MORTON ST
JAMAICA PLAIN, MA 02130
General Acute Care Hospital
170 MORTON ST
JAMAICA PLAIN, MA 02130
Registered Nurse
170 MORTON ST
BOSTON, MA 02130

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 Virginia Mccullough's NPI number?

The NPI number for Virginia Mccullough is 1811039662. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Virginia Mccullough located?

Virginia Mccullough practices at 170 Morton St, Jamaica Plain, MA 02130. The listed phone number is (617) 971-3788.

What is Virginia Mccullough's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Virginia Mccullough enrolled in Medicare?

Yes. Virginia Mccullough is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Virginia Mccullough was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.