Jacquelyn Pennie, PA
NPI 1134536055 · Physician Assistant · Dedham, MA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacquelyn Pennie, PA is a Physician Assistant provider in Dedham, MA (NPI 1134536055).
Provider details
- NPI number
- 1134536055
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA5064 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
379 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Tissue From Wound, 20.0 Sq Cm Or Less97597 | 132 | $97 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 53 | $84 |
| Strapping, Unna Boot29580 | 34 | $78 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 24 | $122 |
| Removal of Noncancer Skin Growth of Body, Arms, Or Legs, 1.1-2.0 Cm11402 | 22 | $97 |
| Intermediate Repair of Wound of Scalp, Underarms, Trunk, Arms, Or Legs, 2.5 Cm Or Less12031 | 22 | $247 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Doxycycline Monohydrate | 34 | 23 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-07-14
- Last updated
- 2021-09-13
- Certified
- 2021-08-25
Frequently asked questions
- What is Jacquelyn Pennie's NPI number?
- Jacquelyn Pennie's National Provider Identifier (NPI) is 1134536055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquelyn Pennie's specialty?
- Jacquelyn Pennie is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacquelyn Pennie located?
- Jacquelyn Pennie's practice location on file with NPPES is 1 Lyons St, Dedham, MA 02026-5599.
- What is Jacquelyn Pennie's phone number?
- The practice phone number listed in the NPPES registry for Jacquelyn Pennie is (508) 880-0012.
- Does Jacquelyn Pennie accept Medicare?
- Jacquelyn Pennie is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacquelyn Pennie's NPI active?
- Yes — Jacquelyn Pennie's NPI (1134536055) is active in the NPPES registry as of the last update on 2021-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.