SUSAN E JEWETT PA
NPI 1033116124
Physician Assistant - Medical in New York, NY

Active since July 05, 2005PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
30 BROAD ST FL 45, NEW YORK, NY 10004(212) 530-0630 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 17, 2025, Mar 5, 2021, Feb 20, 2019 (3 updates tracked since 2019).

About Susan E Jewett Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN E JEWETT PA (NPI 1033116124) is an individual medical provider in New York, New York, licensed in New York (007997) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1033116124
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSUSAN E JEWETTCredential: PA
Location Address30 BROAD ST FL 45New York, NY 10004-2942
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 5, 2005
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1033116124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 007997
Also ListedFamily MedicineTaxonomy 207Q00000X · License 007997 (NY)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 007997-1 (NY), PA9342 (MA)
30 BROAD ST FL 45, New York, NY 10004

Secondary Practice Locations 2

Location 14077 West RdCortland, NY 13045-1637 · Phone (607) 753-9977 · Fax (607) 758-7032
Location 22805 Cincinnatus RdCincinnatus, NY 13040-9685 · Phone (607) 863-4126

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susan E Jewett Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789690371
PECOS Enrollment IDI20060307000187
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
30 BROAD ST FL 45
NEW YORK, NY 10004
Nurse Practitioner (Family)
30 BROAD ST FL 45
NEW YORK, NY 10004
Nurse Practitioner (Family)
30 BROAD ST FL 45
NEW YORK, NY 10004
Nurse Practitioner (Family)
30 BROAD ST FL 45
NEW YORK, NY 10004
Nurse Practitioner
30 BROAD ST FL 45
NEW YORK, NY 10004
Nurse Practitioner (Family)
30 BROAD ST FL 45
NEW YORK, NY 10004
Physician Assistant
30 BROAD ST FL 45
NEW YORK, NY 10004
Physician Assistant (Medical)
30 BROAD ST FL 45
NEW YORK, NY 10004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Jewett's NPI number?

The NPI number for Susan Jewett is 1033116124. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is Susan Jewett located?

Susan Jewett practices at 30 Broad St Fl 45, New York, NY 10004. The listed phone number is (212) 530-0630.

What is Susan Jewett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Susan Jewett enrolled in Medicare?

Yes. Susan Jewett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Susan Jewett was last updated on June 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.