JASON R JANNICELLI (MS PAC) – Physician Assistant, NPI 1225095607

JASON R JANNICELLI (MS PAC) is a healthcare provider. based in Somerville, New Jersey. specializing in Physician Assistant. They hold the professional credentials MS PAC. They hold a License No. 25MP00151700 (NJ). The NPI Number for JASON R JANNICELLI (MS PAC) is 1225095607

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JASON R JANNICELLI (MS PAC)
NPI
1225095607
Phone
(908) 685-2200
Address
110 REHILL AVE # 08876
Enumeration Date
28 April 2006
Last Update Date
18 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9086652200
Graduation Year
2005 (21 years ago)
PAC ID
3870509573
Group Practice PAC ID
8628065117
Professional Enrollment ID
I20060306000247
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for JASON R JANNICELLI (MS PAC)

  • 110 REHILL AVE # 08876

    SOMERVILLE, NJ 088762519

    Phone: (908) 685-2200

    Type: Location

  • 36, Arden Road, Brunswick Gardens, Old Bridge, Old Bridge Township, Middlesex County, New Jersey, 08857, United States

    OLD BRIDGE, NJ 088571888

    Phone: (908) 377-9488

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-03-06

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060306000247IPhysician AssistantNJTBD

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
27130Replacement of thigh bone and hip joint with prosthesis3635$0
27447Replacement of knee joint, both sides of knee2423$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 08876)

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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: 8628065117View full group profile
NameSpecialtyState
-NJ
-NJ
-NJ
Nurse PractitionerNJ
-NJ
Internal Medicine, NephrologyNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
-NJ
Nephrology, Internal MedicineNJ

Reviews

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Frequently asked questions

What is JASON R JANNICELLI (MS PAC)'s NPI number?
JASON R JANNICELLI (MS PAC)'s NPI is 1225095607 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to JASON R JANNICELLI (MS PAC)?
You should see JASON R JANNICELLI (MS PAC) as active in CMS-hosted NPPES data.
What expertise is attributed to JASON R JANNICELLI (MS PAC)?
JASON R JANNICELLI (MS PAC)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in New Jersey is JASON R JANNICELLI (MS PAC) registered?
Use Somerville, New Jersey as the headline location for JASON R JANNICELLI (MS PAC) here.
When was this NPI issued?
Enumeration for JASON R JANNICELLI (MS PAC) is noted as April 28, 2006 where the registry provides it.

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