Individual provider Active NPI

Jessica Cuccio, P.A.

  • Surgical Physician Assistant
  • Sugar Land, TX
National Provider Identifier
1659772267
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA09934 Issued in TX
Practice address
16605 Southwest Fwy
Suite 285
Sugar Land, TX 77479-3501
Phone
(281) 313-0031
Fax
(281) 313-0032
NPI assigned
Sep 15, 2014
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA09934 TX Primary

Addresses

Primary practice location

16605 Southwest Fwy
Suite 285
Sugar Land, TX 77479-3501

Mailing address

16605 Southwest Fwy
Suite 285
Sugar Land, TX 77479-3501
Phone (281) 313-0031

Other identifiers 1

IdentifierTypeStateIssuer
8393NMOtherTXBCBSTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA09934TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Spine & Neurosurgery Center, P.a. CurrentSince Oct 16, 2024 Accepting new patients

Locations

16605 Southwest Fwy
Ste 285
Sugar Land, TX 77479
Phone (281) 313-0031

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jcuccio97744@directhoustonmethodist.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1659772267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16605 SOUTHWEST FWY",
            "address_2": "SUITE 285",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793501",
            "telephone_number": "281-313-0031",
            "fax_number": "281-313-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 SOUTHWEST FWY",
            "address_2": "SUITE 285",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793501",
            "telephone_number": "281-313-0031",
            "fax_number": "281-313-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCCIO",
        "first_name": "JESSICA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA09934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8393NM",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.