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

Individual provider Physician Assistant · NPI 1558777011

Vanessa Boccaccio Stockford, PA-C is a Physician Assistant in Avon, Connecticut. Graduated from Rutgers New Jersey Medical School in 2014, 12 years ago. Practices with Prohealth Physicians PC, a 212-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
12
Trained at
Rutgers New Jersey Medical School
Licensed in
CT
In the registry since
2014
Specialties on file
2
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

8 Canal Ct
Avon, CT 06001-3726
Phone: (860) 674-9686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3119 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 003119 (CT)

Record details

NPI number1558777011
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 6, 2014
Last updated in NPPESApril 22, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2014 (12 years in practice)
Group practice Prohealth Physicians Pc — 212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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