Jennifer Castelluccio, PAC
NPI 1679561435 · Physician Assistant · Maple Valley, WA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Castelluccio, PAC is a Physician Assistant provider in Maple Valley, WA (NPI 1679561435).
Provider details
- NPI number
- 1679561435
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- OA10000132 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-06
- Last updated
- 2021-08-17
- Certified
- 2021-08-17
Frequently asked questions
- What is Jennifer Castelluccio's NPI number?
- Jennifer Castelluccio's National Provider Identifier (NPI) is 1679561435, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Castelluccio's specialty?
- Jennifer Castelluccio is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jennifer Castelluccio located?
- Jennifer Castelluccio's practice location on file with NPPES is 26458 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038.
- What is Jennifer Castelluccio's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Castelluccio is (425) 690-3460.
- Does Jennifer Castelluccio accept Medicare?
- Jennifer Castelluccio is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Castelluccio's NPI active?
- Yes — Jennifer Castelluccio's NPI (1679561435) is active in the NPPES registry as of the last update on 2021-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.