JONICA PAGNUCCO (PA) – Medical Physician Assistant, NPI 1245437037

JONICA PAGNUCCO (PA) is a healthcare provider. based in Meriden, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 001913 (CT). The NPI Number for JONICA PAGNUCCO (PA) is 1245437037

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
JONICA PAGNUCCO (PA)
NPI
1245437037
Phone
(203) 573-9512
Address
455 LEWIS AVE
Enumeration Date
27 June 2007
Last Update Date
24 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
1254425382
Group Practice PAC ID
3173866241
Professional Enrollment ID
I20070920000485
Address ID
CT064891801SO462XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,257 PHYSICIAN ASSISTANT in CT

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Provider Addresses for JONICA PAGNUCCO (PA)

  • 455, Lewis Avenue, Meriden, New Haven County, Connecticut, 06451, United States

    STE 221

    MERIDEN, CT 064512121

    Phone: (203) 573-9512

    Fax: (203) 568-2904

    Type: Mailing

  • Church of God New Testament Church, 64, Robbins Street, West Side Hill, Waterbury, New Haven County, Connecticut, 06708, United States

    6TH FLOOR

    WATERBURY, CT 067082613

    Phone: (203) 573-6263

    Fax: (203) 573-6030

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 273 Open Payments records for all available years, with a total value of $12,165.

Total Amount is formed as General ($12,165) + Research ($0) + Ownership ($0) = $12,165.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($9,546).

Total Amount

$12,165

General + Research + Ownership

Payments

273

Total payment records

General Amount

$12,165

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-09-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070920000485IPhysician AssistantCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes10380$0
99213Established patient office or other outpatient visit, 20-29 minutes8271$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 06451)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173866241View full group profile
NameSpecialtyState
-CT
Physical Medicine And RehabilitationCT
Nurse PractitionerCT
Nurse PractitionerCT
-CT
-CT
Physician AssistantCT
P O D I A T R YCT
-CT
Physician AssistantCT

Reviews

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Frequently asked questions

What is the 10-digit NPI for JONICA PAGNUCCO (PA)?
JONICA PAGNUCCO (PA) — NPI 1245437037 — is the standard way to identify this listing.
Is JONICA PAGNUCCO (PA) listed as active for patients and plans?
The listing shows JONICA PAGNUCCO (PA) as active in the NPI system.
What taxonomy line describes JONICA PAGNUCCO (PA)?
For research purposes, treat JONICA PAGNUCCO (PA) as Medical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does JONICA PAGNUCCO (PA) list a practice location?
Patients near Meriden, Connecticut may find JONICA PAGNUCCO (PA) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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