Jessica Tacconelli, PA-C
NPI 1164791752 · Medical Physician Assistant · West Bloomfield, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica Tacconelli, PA-C is a Medical Physician Assistant provider in West Bloomfield, MI (NPI 1164791752).
Provider details
- NPI number
- 1164791752
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601006221 (MI)
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 tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
620 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 187 | $5 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 98 | $78 |
| Destruction of Skin Growth, 1-14 Growths17110 | 97 | $92 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 68 | $109 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 62 | $39 |
| Biopsy of Related Skin Growth, First Growth |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ketoconazole | 84 | 37 |
| Triamcinolone Acetonide | 67 | 50 |
| Mometasone Furoate | 30 | 18 |
| Betamethasone Dipropionate | 26 | 19 |
| Minoxidil | 25 | — |
| Mupirocin | 25 | 20 |
| Pimecrolimus | 21 | — |
| Doxycycline Hyclate | 20 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,340 across 75 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-12-28
- Last updated
- 2011-12-28
Frequently asked questions
- What is Jessica Tacconelli's NPI number?
- Jessica Tacconelli's National Provider Identifier (NPI) is 1164791752, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Tacconelli's specialty?
- Jessica Tacconelli is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jessica Tacconelli located?
- Jessica Tacconelli's practice location on file with NPPES is 6330 Orchard Lake Rd., West Bloomfield, MI 48322.
- What is Jessica Tacconelli's phone number?
- The practice phone number listed in the NPPES registry for Jessica Tacconelli is (248) 855-3366.
- Does Jessica Tacconelli accept Medicare?
- Jessica Tacconelli is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessica Tacconelli's NPI active?
- Yes — Jessica Tacconelli's NPI (1164791752) is active in the NPPES registry as of the last update on 2011-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.