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JESSICA DWYER PA-C
NPI 1104181387
Physician Assistant in Latham, NY

Active since July 12, 2012Opted out of Medicare · through Nov 3, 2027
1205 TROY SCHENECTADY RD STE 101, LATHAM, NY 12110(518) 348-3176 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 23, 2019, Apr 8, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2015).

About Jessica Dwyer Pa-c NPPES

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

JESSICA DWYER PA-C (NPI 1104181387) is an individual physician assistant in Latham, New York, licensed in New York (015669) and active in the NPI registry since July 2012. She has opted out of Medicare through November 3, 2027 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104181387
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA DWYERCredential: PA-C
Location Address1205 TROY SCHENECTADY RD STE 101Latham, NY 12110-1074
Mailing Address7755 Center Ave, Ste 630Huntington Beach, CA 92647-9152 · (518) 471-3111
Phone(518) 348-3176
Sole ProprietorNo
Enumeration DateJuly 12, 2012
Last NPPES UpdateOctober 23, 20194 updates tracked since enumeration
✔ NPI 1104181387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 015669
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.
1205 TROY SCHENECTADY RD STE 101, Latham, NY 12110
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Other Names 1

Former Name (1)Jessica Larosa Pa-c

Secondary Practice Locations 2

Location 11300 Massachusetts AveTroy, NY 12180-1628 · Phone (518) 268-5234
Location 24535 Dressler Rd NWCanton, OH 44718-2545 · Phone (330) 493-4443

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Dwyer Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 3, 2025 through November 3, 2027.

Opt-Out Effective DateNovember 3, 2025
Opt-Out In Effect ThroughNovember 3, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

LAUREN M CABANA PA
Physician Assistant
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Albany County (518) 348-3176
MARA J BUCHANAN P.A.
Physician Assistant
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Albany County (518) 348-3176
CLEMENTINE MILLER ADULT NP
Nurse Practitioner (Adult Health)
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Albany County (518) 348-3176
MARISA DAGOSTINO PA
Physician Assistant
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Albany County (518) 348-3176
FRANCINE RAINONE DO
Family Medicine
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Albany County (518) 348-3176
MAEGAN FUCCI FNP
Nurse Practitioner (Family)
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Albany County (518) 348-3176
NICOLA RIVERS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Albany County (518) 348-3176
SARAH VOGEL MD
Emergency Medicine
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Albany County (518) 348-3176

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 Jessica Dwyer's NPI number?

The NPI number for Jessica Dwyer is 1104181387. It was assigned to this individual provider in the NPPES registry on July 12, 2012. The provider is also known as Jessica Larosa Pa-C.

Where is Jessica Dwyer located?

Jessica Dwyer practices at 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110. The listed phone number is (518) 348-3176.

What is Jessica Dwyer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jessica Dwyer enrolled in Medicare?

No. Jessica Dwyer has opted out of Medicare through November 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jessica Dwyer was last updated on October 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.