MRS. JENNA ANN PICCOLOMINI (P.A.) – Physician Assistant, NPI 1760717144
Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
Provider Addresses for MRS. JENNA ANN PICCOLOMINI (P.A.)
100 RIDGEVIEW DR UNIT 3
SMITHFIELD, PA 15478
Phone: (724) 569-8100
Fax: (724) 569-8368
Type: Location
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 153332114
Phone: (724) 632-6801
Fax: (724) 632-6312
Type: Mailing
93, North Morgantown Street, Fairchance, Fayette County, Pennsylvania, 15436, United States
FAIRCHANCE, PA 154361039
Phone: (724) 564-0900
Fax: (724) 564-9835
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 247 Open Payments records for all available years, with a total value of $4,002.
Total Amount is formed as General ($4,002) + Research ($0) + Ownership ($0) = $4,002.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($805).
Total Amount
$4,002
General + Research + Ownership
Payments
247
Total payment records
General Amount
$4,002
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $805 |
| Novo Nordisk Inc | $704 |
| Lilly USA, LLC | $532 |
| AstraZeneca Pharmaceuticals LP | $452 |
| SHIELD THERAPEUTICS INC | $177 |
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: 2011-08-04
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 |
|---|---|---|---|---|
| I20110804000534 | I | Physician Assistant | PA | 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 | 109 | 73 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 50 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 25 | 25 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 24 | 24 | $0 |
Insurance plans in this area (ZIP 15478)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA |
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