Jacqueline Braunworth, PA-C
NPI 1649665936ActiveIndividual· Physician Assistant, Medical· Derby, CT
Physician Assistant, Medical (PA-C) with North Shore Lij Urgent Care PC and 1 other group, practicing in Derby, Connecticut. 88 Medicare patients in 2024, $7,022 paid; nearly all of their 225 Part D prescriptions were generic (91%). Abbvie Inc. reported $14.18 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1649665936 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 2, 2015 |
| Last updated in NPPES | Oct 19, 2022 |
| Certified by provider | Oct 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 003273 | CT |
| Physician Assistant | 363A00000X | 003273 | CT |
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); Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 88 |
|---|---|
| Services billed | 157 across 22 procedure codes |
| Paid by Medicare | $7,022 |
Part D prescriptions in 2024
| Prescriptions (claims) | 225 · 260 30-day fills |
|---|---|
| Patients | 151 |
| Total drug cost | $3,284 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- North Shore Lij Urgent Care PCPlainview, NY · 390 clinicians
- Hartford Healthcare Urgent Care Centers LLCWethersfield, CT · 198 clinicians
Industry payments (Open Payments)
- 2024$14.18 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $14.18 | 1 |
What the 2024 payments were for
- Food and Beverage$14.18 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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