Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacquelynn M Dimuccio, PA-C

Individual provider Physician Assistant · NPI 1275155574

Jacquelynn M Dimuccio, PA-C is a Physician Assistant in Cranston, Rhode Island. Qualified in 2020, 6 years ago. Practices with Rhode Island Counseling Associates LLC, a 42-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
6
Licensed in
RI
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1150 Reservoir Ave Ste 203
Cranston, RI 02920-6043
Phone: (401) 259-0340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 712 Putnam Pike Unit 2, Chepachet, RI 02814-1404 — (401) 710-4280

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01239 (RI)

Record details

NPI number1275155574
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 11, 2020
Last updated in NPPESOctober 6, 2020
Certification dateOctober 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Rhode Island Counseling Associates Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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