JACOB CHARLES PUGLISI (PA-C) – Physician Assistant, NPI 1902867617

JACOB CHARLES PUGLISI (PA-C) is a healthcare provider. based in North chesterfield, Virginia. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 0110003638 (VA). The NPI Number for JACOB CHARLES PUGLISI (PA-C) is 1902867617

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JACOB CHARLES PUGLISI (PA-C)
NPI
1902867617
Phone
(804) 560-5595
Address
1115 BOULDERS PKWY
Enumeration Date
31 March 2006
Last Update Date
2 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
2961672183
Group Practice PAC ID
0547157224
Professional Enrollment ID
I20110826000042
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JACOB CHARLES PUGLISI (PA-C)

  • 1115, Boulders Parkway, Chesterfield Village, Chesterfield County, Virginia, 23225, United States

    SUITE 200

    NORTH CHESTERFIELD, VA 232254067

    Phone: (804) 560-5595

    Fax: (804) 560-9029

    Type: Mailing

  • 700 24TH ST

    FORT LEE, VA 238011716

    Phone: (804) 734-9226

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23225)

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Provider's Procedures

JACOB CHARLES PUGLISI (PA-C) performs procedures in Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTVA20610Aspiration and/or injection of large joint or joint capsule318167
PHYSICIAN ASSISTANTVA73562X-ray of knee, 3 views3126

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: 0547157224View full group profile
NameSpecialtyState
-VA
-VA
Physician AssistantVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
-VA
-VA
-VA
-VA

Reviews

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Frequently asked questions

Can I verify JACOB CHARLES PUGLISI (PA-C) with an NPI only?
You can start verification with NPI 1902867617 for JACOB CHARLES PUGLISI (PA-C), then check state licensing separately.
Is JACOB CHARLES PUGLISI (PA-C) still practicing?
JACOB CHARLES PUGLISI (PA-C) is currently listed as active in the public NPI registry.
What is JACOB CHARLES PUGLISI (PA-C)'s specialty?
The listing groups JACOB CHARLES PUGLISI (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is JACOB CHARLES PUGLISI (PA-C) based?
JACOB CHARLES PUGLISI (PA-C) is tied to North Chesterfield, Virginia in the data we show; additional addresses may exist on the full record.
Why does JACOB CHARLES PUGLISI (PA-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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