JESSICA LEEANNE PIETERSEN PA-C
NPI 1811689342
Physician Assistant in Pascoag, RI

Q: What is Jessica Pietersen's NPI number?

The NPI number for Jessica Pietersen is 1811689342. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Q: What is Jessica Pietersen'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 Jessica Pietersen was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 23, 2023PECOS EnrolledAccepts Medicare Assignment

36 BRIDGE WAY, PASCOAG, RI 02859(401) 567-0800 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Jessica Leeanne Pietersen Pa-c NPPES

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

JESSICA LEEANNE PIETERSEN PA-C (NPI 1811689342) is an individual physician assistant in Pascoag, Rhode Island, licensed in Rhode Island (PA01587) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811689342

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJESSICA LEEANNE PIETERSENCredential: PA-C

Location Address36 BRIDGE WAYPascoag, RI 02859-3131

Mailing Address6 Gentian RdNorton, MA 02766-1624 · (508) 838-4350

Phone(401) 567-0800

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 23, 2023

NPPES CertifiedMay 23, 2023

✔ NPI 1811689342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in RI · PA01587

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.

36 BRIDGE WAY, Pascoag, RI 02859

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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

Jessica Leeanne Pietersen Pa-c 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 ID2961860432

PECOS Enrollment IDI20230615002789

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02859 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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 20

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

DR. STEVEN ALAN HOKENESS MD

Internal Medicine