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Active NPI 1275155574 Individual Practitioner Female Practitioner

Jacquelynn M Dimuccio , PA-C

Physician Assistant • Cranston, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jacquelynn Dimuccio, PA-C is a certified Physician Assistant practicing in Cranston, RI. With approximately 6 years of clinical experience since completing medical education in 2020, Jacquelynn Dimuccio delivers high-quality medical care to the local community at 1150 RESERVOIR AVE STE 203.

Jacquelynn Dimuccio is affiliated with Rhode Island Counseling Associates Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, psychotherapy with evaluation and management visit, psychiatric diagnostic evaluation with medical services. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1150 Reservoir Ave Ste 203

Cranston, RI 029206043

Telephone 4012590340
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cranston, RI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -4.3 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
33 Specialists

Practicing in Cranston, RI (687 Statewide)

Telehealth Adoption Rate
24.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
63.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dimuccio (6 Years) 6 Yrs
Cranston Specialty Average (10.3 Years) 10.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
120 16 $200.00 $83.34
90833 Psychotherapy with evaluation and management visit, 30 minutes
54 11 $175.00 $54.80

Medical Specialties & State Licenses

CMS Verified: 2020-10-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA01239

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.

Hospital & Practice Group Affiliations

Rhode Island Counseling Associates Llc

1150 Reservoir Ave, Cranston, RI 029206043

Phone: 4012590340

Secondary Practice Locations

712 Putnam Pike Unit 2

Chepachet, RI 028141404

Phone: 4017104280

Practice Associates & Co-Workers

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

21 Associated Practitioners
Judith Adewuyi

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013835214
Rebecca Stevenson , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023522703

Advanced Practice Registered Nurse

Evan Stoler , PA

Physician Assistant

NPI 1053909895

Physician Assistant

Anita Obeng , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1093486417

Advanced Practice Registered Nurse

Raymond Lambert

Counselor - Mental Health

NPI 1134903073
NPI 1215655022

Licensed Clinical Social Worker

Career & Practice History Timeline

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

10 Historical Events
👤
Provider Name / Credentials Updated October 06, 2020

Recorded as JACQUELYNN DIMUCCIO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2020

Physician Assistant (License #PA01239 in RI)

📍
Updated Practice Location July 28, 2020

Registered at 1150 RESERVOIR AVE STE 203, CRANSTON, RI 029206043 (Tel: 4012590340)

📍
Updated Business Mailing Address July 28, 2020

Registered at 1150 RESERVOIR AVE STE 203, CRANSTON, RI 029206043 (Tel: 4012590340)

NPI Profile Active May 11, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2020

Registered at 74 CALAMAN RD, CRANSTON, RI 029104203 (Tel: 4015691367)

📍
Updated Business Mailing Address May 11, 2020

Registered at 74 CALAMAN RD, CRANSTON, RI 029104203

👤
Provider Name / Credentials Updated May 11, 2020

Recorded as JACQUELYNN DIMUCCIO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2020

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 11, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275155574
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2020
Last Update: October 06, 2020
Sole Proprietor: No

Mailing Address

1150 Reservoir Ave Ste 203

Cranston, RI 029206043

Phone: 4012590340

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.