MRS. JESSICA LYNN RUNQUIST (PA-C) – Physician Assistant, NPI 1124557376
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
774 PHYSICIAN ASSISTANT in RI
Provider Addresses for MRS. JESSICA LYNN RUNQUIST (PA-C)
1287 N Main St
Providence, RI 029041856
Phone: (401) 272-2724
Fax: (401) 272-2784
Type: Location
1675, Grand Army of the Republic Highway, North Swansea, Swansea, Bristol County, Massachusetts, 02777, United States
SWANSEA, MA 027773901
Phone: (508) 490-5959
Fax: (508) 490-5960
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 146 Open Payments records for all available years, with a total value of $3,300.
Total Amount is formed as General ($3,300) + Research ($0) + Ownership ($0) = $3,300.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Janssen Biotech, Inc. ($695).
Total Amount
$3,300
General + Research + Ownership
Payments
146
Total payment records
General Amount
$3,300
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $695 |
| ABBVIE INC. | $613 |
| Incyte Corporation | $440 |
| E.R. Squibb & Sons, L.L.C. | $321 |
| PFIZER INC. | $308 |
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: 2020-01-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20171009001582 | I | Physician Assistant | MA | TBD |
| I20200124000142 | I | Physician Assistant | RI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 478 | 359 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 387 | 90 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 177 | 139 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 162 | 146 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 120 | 102 | $0 |
Insurance plans in this area (ZIP 02904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MA |
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