JESSICA S KOVALCHICK PA-C
NPI 1184932568
Physician Assistant - Medical in Vestal, NY
About Jessica S Kovalchick Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA S KOVALCHICK PA-C (NPI 1184932568) is an individual medical provider in Vestal, New York, licensed in New York (017256) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica S Kovalchick Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kovalchick's NPI number?
The NPI number for Jessica Kovalchick is 1184932568. It was assigned to this individual provider in the NPPES registry on September 19, 2010. The provider is also known as Jessica S Keller Pa-C.
Where is Jessica Kovalchick located?
Jessica Kovalchick practices at 105 Ridgehaven Dr, Vestal, NY 13850. The listed phone number is (607) 798-6176.
What is Jessica Kovalchick's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jessica Kovalchick enrolled in Medicare?
Yes. Jessica Kovalchick is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jessica Kovalchick was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jessica S Kovalchick, PA-C · NPI 1184932568
Medical physician in Vestal, New York. Individual provider, active in the CMS NPPES registry since September 19, 2010.
## Identity
- **NPI:** 1184932568 (Entity type: Individual)
- **Enumerated:** September 19, 2010
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 017256 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 105 RIDGEHAVEN DR, Vestal, NY 13850-2640
- **Phone:** (607) 798-6176
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1184932568) · Data from the CMS NPPES public registry.