Jacqueline Nicole Perez, PA
NPI 1407108558ActiveIndividual· Physician Assistant· Avon, CT
Physician Assistant (PA) in Avon, Connecticut, licensed in CT, WA and FL, with an NPI issued in October 2012. Part D covered 453 prescriptions written in 2024, 89% of them generic.
Overview
| NPI | 1407108558 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Oct 12, 2012 |
| Last updated in NPPES | May 7, 2020 |
| Certified by provider | May 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 4631 | CT |
| Physician Assistant | 363A00000X | 60363705 | WA |
| Physician Assistant | 363A00000X | PA9106924 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CT) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 453 · 544 30-day fills |
|---|---|
| Patients | 238 |
| Total drug cost | $19,880 |
| Generic share | 89% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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