Jacqueline Mcsally Donaldson is a Surgical Physician Assistant practicing in Trumbull, Connecticut. The National Provider Identifier (NPI) is #1417415084, which was assigned on March 3, 2019, and the registration record was last updated on October 7, 2025. The practitioner's main practice location is at 5520 Park Ave, Trumbull, CT 06611-3463; the contact telephone number is 2032617262. The primary taxonomy of Jacqueline Mcsally Donaldson is Surgical Physician Assistant (363AS0400X), with specialization in Surgical. Jacqueline Mcsally Donaldson is licensed to practice in the state of North Carolina (#0010-08914), Connecticut (#6876).
| NPI | 1417415084 |
| Entity Type | Individual |
| Provider Name | MRS. JACQUELINE MCSALLY |
| Other Name |
JACQUELINE MCSALLY DONALDSON (Former Name) |
| Gender | Female |
| Credential | PA-C |
| Practice Address |
5520 Park Ave Trumbull CT 06611-3463 |
| Practice Telephone | 2032617262 |
| Mailing Address |
1290 Silas Deane Hwy Hhc Cvo Wethersfield CT 06109-4337 |
| Mailing Telephone | 8609725507 |
| Mailing Fax Number | 8609727040 |
| Certification Date | 2025-10-07 |
| Enumeration Date | 2019-03-03 |
| Last Update Date | 2025-10-07 |
| Is Sole Proprietor | N |
| PAC ID |
3173857521 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | JACQUELINE MCSALLY DONALDSON |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Organization Legal Name | YALE UNIVERSITY |
| Address |
800 Howard Ave New Haven CT 06519-1369 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0010-08914 | NC | ||
| Y | 363AS0400X | Physician Assistant | Surgical | 6876 | CT |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 1159850 | NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS (NCCPA) | Other | |
| 110-622-459 | AMERICAN ACADEMY OF PAS (AAPA) | Other | |
| 100274093 | WI | MEDICAID |
| Address | Telephone | Fax |
|---|---|---|
| 2800 Main St, Bridgeport, CT 066064201 | 4752105436 | 4752106512 |
| 2825 Lyndhurst Ave Ste 101, Winston Salem, NC 271034146 | 3362774075 |
| Code | 363AS0400X |
| Taxonomy | Surgical Physician Assistant |
| Classification | Physician Assistant |
| Specialization | Surgical |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Brianna Jade Alex | 1900 North Loop W Ste 670, Houston, TX 77018-8119 | Surgical Physician Assistant | 2025-10-07 |
| Sharon Elizabeth Lauster | 1575 Pine Ridge Rd, Naples, FL 34109-2107 | Surgical Physician Assistant | 2025-09-30 |
| Nicholas Mondore | 1367 Washington Ave Ste 200, Albany, NY 12206-1043 | Surgical Physician Assistant | 2025-09-23 |
| Maginta Smith | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | Surgical Physician Assistant | 2025-09-30 |
| American Orthopedics Surgical Assist, LLC | 10 Enterprise Blvd Ste 209, Greenville, SC 29615-3554 | Surgical Physician Assistant | 2025-10-08 |
| Holly Rusch · Holly Hamilton | 4309 W Medical Center Dr Ste B310, Mchenry, IL 60050-8441 | Surgical Physician Assistant | 2025-09-23 |
| Tiwaloluwa James | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | Surgical Physician Assistant | 2025-10-10 |
| Sanik J Patel | 10730 Medlock Bridge Rd, Johns Creek, GA 30097-2637 | Surgical Physician Assistant | 2025-10-01 |
| M Ward S Surgical Associates | 10620 Southern Highlands Pkwy Ste 110-438, Las Vegas, NV 89141-4371 | Surgical Physician Assistant | 2025-09-29 |
| Lisa Tangri | 1275 N High St, Hillsboro, OH 45133-5200 | Surgical Physician Assistant | 2025-10-06 |
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| Street Address |
5520 PARK AVE |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-3463 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Krystal Kelly | 5520 Park Ave, Trumbull, CT 06611-3463 | Oncology Pharmacist | 2025-09-15 |
| Black Rock Tpk Med Grp | 5520 Park Ave, Suite 203, Trumbull, CT 06611-3463 | Hematology & Oncology Physician | 2005-07-12 |
| Caroline Ann Carruth | 5520 Park Ave, Trumbull, CT 06611-3463 | Physician Assistant | 2021-10-27 |
| Ana Carolina Meyer | 5520 Park Ave, Trumbull, CT 06611-3463 | Women's Health Nurse Practitioner | 2025-01-27 |
| Stephanie Miller | 5520 Park Ave, Trumbull, CT 06611-3463 | Family Nurse Practitioner | 2017-07-15 |
| Katherine Aileen Duarte | 5520 Park Ave, Trumbull, CT 06611-3463 | Community Health Nurse Practitioner | 2024-12-30 |
| Ashley Rachelle Christensen | 5520 Park Ave Ste 302, Trumbull, CT 06611-3466 | Obstetrics & Gynecology Physician | 2015-06-16 |
| Shelby L Blackley | 5520 Park Ave Ste Wp-2300, Trumbull, CT 06611-3463 | Surgical Physician Assistant | 2020-06-29 |
| Christine Cunningham | 5520 Park Ave # Wp1-200, Trumbull, CT 06611-3463 | Nurse Practitioner | 2025-06-11 |
| Elizabeth Miller Gaa | 5520 Park Ave, Trumbull, CT 06611-3463 | Registered Nurse | 2023-12-12 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Connecticut In Home Assistance LLC | 925 White Plains Rd, Trumbull, CT 06611 | Respite Care | 2007-05-03 |
| Lauren K Meli | 2 Corportate Drive, Suite 209, Trumbull, CT 06611 | Social Worker | 2008-11-24 |
| Qmg5,Llc | 57 Monroe Tpke, Trumbull, CT 06611-1315 | Urgent Care Clinic/Center | 2021-01-14 |
| Ptsma Inc | 115 Technology Dr, Ste B100, Trumbull, CT 06611 | Rehabilitation Clinic/Center | 2006-03-16 |
| Michael G Saad | 6527 Main St, Trumbull, CT 06611-1385 | Clinical Social Worker | 2025-09-29 |
| Jaycie Deleon Perez | 6515 Main St, 1st Floor, Suite #6, Trumbull, CT 06611 | Registered Dietitian | 2025-05-23 |
| Natalie Colicci-Favretto | 2 Corporate Dr Ste 206, Trumbull, CT 06611-1376 | Nutritionist | 2009-06-03 |
| Ethan Samuel Pollack | 6540 Main St Ste 5, Trumbull, CT 06611-1364 | Physical Therapist | 2025-08-09 |
| Grandhi LLC | 15 Corporate Dr Ste 1-1, Trumbull, CT 06611-1351 | Durable Medical Equipment & Medical Supplies | 2016-04-25 |
| John-Paul Ayala | 15 Corporate Dr, Trumbull, CT 06611-1351 | Internal Medicine Physician | 2006-05-08 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jacqueline Agnes Jennings · Jacqueline Grimm | 1917 S Highway 53, La Grange, KY 40031-8512 | Optometrist | 2019-07-05 |
| Jacqueline Paige Buerger · Jacqueline Fiege | 2935 Universal Ct Ste 2, Oshkosh, WI 54904-6324 | Mental Health Counselor | 2020-08-11 |
| Jacqueline Denise Ross · Jacqueline R Johnson | 108 N Park Dr, Fayetteville, GA 30214-1645 | Primary Care Nurse Practitioner | 2019-08-01 |
| Jacqueline M King · Jacqueline Marie Sutton | 1800 Zollinger Rd Fl 4, Columbus, OH 43221-2800 | Ambulatory Women's Health Care Registered Nurse | 2024-03-11 |
| Jacqueline June Lydiatt · Jacqueline Barber | 1841 Clay St, Ashland, NE 68003-1712 | Adult Companion | 2025-02-10 |
| Jacqueline Alexandra Kepler · Jacqueline A Pulliam | 4301 W Markham St # 832, Little Rock, AR 72205-7101 | Student in an Organized Health Care Education/Training Program | 2022-04-05 |
| Jacqueline Elette Price · Jacqueline Kincade | 2001 Kingsley Ave, Orange Park, FL 32073-5148 | Certified Registered Nurse Anesthetist | 2013-12-12 |
| Jacqueline Locke · Jacqueline Mcginnis | 900 E Laharpe St, Kirksville, MO 63501-4520 | Psychiatric/Mental Health Nurse Practitioner | 2022-06-09 |
| Jacqueline Anding Castle · Jacqueline Powers | 1301 Wellbrook Cir Ne, Conyers, GA 30012-3873 | Family Nurse Practitioner | 2022-11-15 |
| Jacqueline M Junglas · Jacqueline M Sitko | 36000 Euclid Ave, Willoughby, OH 44094-4625 | Certified Registered Nurse Anesthetist | 2012-08-28 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |