JESSICA A SANTICCIOLI (FNP) – Family Medicine Physician, NPI 1003338088
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for JESSICA A SANTICCIOLI (FNP)
63 Main St
Brockton, MA 023014042
Phone: (508) 559-6699
Type: Location
145 ROSEMARY STREET
SUITE C
NEEDHAM, MA 024943259
Phone: (781) 235-7900
Fax: (781) 237-9930
Type: Location
63, Main Street, Brockton, Plymouth County, Massachusetts, 02301, United States
BROCKTON, MA 023014042
Phone: (508) 559-6699
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 179 Open Payments records for all available years, with a total value of $3,840.
Total Amount is formed as General ($3,840) + Research ($0) + Ownership ($0) = $3,840.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Novo Nordisk Inc ($524).
Total Amount
$3,840
General + Research + Ownership
Payments
179
Total payment records
General Amount
$3,840
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $524 |
| AstraZeneca Pharmaceuticals LP | $505 |
| Lilly USA, LLC | $371 |
| PFIZER INC. | $287 |
| ABBVIE INC. | $215 |
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: 2017-10-28
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171028000356 | I | Nurse Practitioner | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 62 | 39 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 20 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 16 | 12 | $0 |
Insurance plans in this area (ZIP 02301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Family Practice | MA | |
| Nurse Practitioner | MA | |
| Family Practice | MA | |
| Family Practice | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA |
Reviews
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