Doctor profile · Federal record
Dr. Jaclyn Decoursey, PA-C
Physician Assistant · Providence, RI
- NPI 1902466188
- Accepts Medicare
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
44 W River St
Providence, RI 029042609
(401) 274-4800
fax (401) 454-0410 - Mailing address
-
Po Box 202230
Dallas, TX 753202230
Credentials & registration
- NPI registered
- June 2019 — 7 yrs on file
- Profile last updated
- October 15, 2025
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Rhode Island #PA01173
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902466188. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
117
Distinct HCPCS
3
Medicare allowed
$9,307
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 59 | 54 | $104 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 39 | 37 | $43 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 19 | 19 | $78 |
In context: peer comparison
Among 42 peers in Providence Physician Assistant, average services per provider: 90. This provider delivers 1.3× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
112
Patients
74
Total drug cost
$2,514
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Peg 3350-Electrolyte (Sodium Chloride/Nahco3/Kcl/Peg) | Brand | 44 | 42 | $1,082 |
| Omeprazole | Generic | 40 | 19 | $764 |
| Pantoprazole Sodium | Generic | 28 | 13 | $669 |
Hospital affiliations
Frequently asked questions
What is Dr. Jaclyn Decoursey's medical specialty?
Dr. Jaclyn Decoursey practices Physician Assistant in Providence, RI.
Where does Dr. Jaclyn Decoursey practice?
Dr. Jaclyn Decoursey practices at 44 W River St, Providence, RI 029042609. Office phone: 4012744800.
What is Dr. Jaclyn Decoursey's NPI?
Dr. Jaclyn Decoursey's National Provider Identifier (NPI) is 1902466188, issued by NPPES.
Does Dr. Jaclyn Decoursey accept Medicare assignment?
Yes. Dr. Jaclyn Decoursey accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jaclyn Decoursey commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Subsequent hospital care with straightforward or low level of medical decision making (HCPCS 99231); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.