Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407108558 Individual Practitioner Female Practitioner

Jacqueline Nicole Perez , PA

Physician Assistant • Avon, CT

Professional Overview & Biography Verified Profile Summary

Jacqueline Perez, PA is a registered healthcare professional specializing in Physician Assistant in Avon, CT. Practice services are available at 385 W MAIN ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

385 W Main St

Avon, CT 060014357

Telephone 8607771280
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Avon, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
37 Specialists

Practicing in Avon, CT (2065 Statewide)

Telehealth Adoption Rate
5.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
13 13 $350.00 $78.31

Medical Specialties & State Licenses

CMS Verified: 2020-05-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CT 4631

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WA 60363705

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License FL PA9106924

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
007207500 (FL)
Medicaid State Provider ID
003128788A (GA)
Commercial Insurance / Payer ID Ct Lic
004613 (CT)

Secondary Practice Locations

580 W 8th St, Ufjax - Dept. Of Neurosurgery

Jacksonville, FL 322096533

Phone: 9042443950

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1023650520

PHYSICIANASSISTANT

David Yarbrough , APRN

Nurse Practitioner - Family

NPI 1043910284

Advanced Practice Registered Nurse

Sarah Dean , APRN

Nurse Practitioner - Family

NPI 1083002307

Advanced Practice Registered Nurse

Marley Binkowski

Physician Assistant

NPI 1083464622
Erika Thompson , PA

Physician Assistant

NPI 1083736896

Physician Assistant

Kate-Lyn Birchell , APRN

Nurse Practitioner

NPI 1134782485

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 07, 2020

Registered at 385 W MAIN ST, AVON, CT 060014357 (Tel: 8607771280)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2020

Physician Assistant (License #4631 in CT)

👤
Provider Name / Credentials Updated October 21, 2019

Recorded as JACQUELINE PEREZ, PA

NPI Profile Active August 13, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2013

Registered at 580 W 8TH ST, UFJAX - DEPT. OF NEUROSURGERY, JACKSONVILLE, FL 322096533 (Tel: 9042443950)

📍
Updated Business Mailing Address August 13, 2013

Registered at PO BOX 44008, UFJAX - PROVIDER ENROLLMENT, JACKSONVILLE, FL 322314008 (Tel: 9042443199)

👤
Provider Name / Credentials Updated August 13, 2013

Recorded as JACQUELINE ESPINOZA, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2013

Physician Assistant (License #PA9106924 in FL)

🟢
Initial NPI Registration & Enumeration October 12, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jacqueline Perez. Be the first to share your experience!

Sign in to leave a review for Jacqueline Perez

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1407108558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2012
Last Update: May 07, 2020
Sole Proprietor: No

Mailing Address

Po Box 44008, Ufjax - Provider Enrollment

Jacksonville, FL 322314008

Phone: 9042443199

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.