1. Home
  2. Directory
  3. New York
  4. Syracuse
  5. Physician Assistant
  6. NPI Profile

MRS. JESSICA LYNN DEMAURO PA-C
NPI 1346657251
Physician Assistant - Medical in Syracuse, NY

Active since July 14, 2014PECOS Enrolled
111 WAVERLY AVENUE, SYRACUSE, NY 13244(315) 443-9005 Get Directions Write a Review

NPPES record last updated: March 16, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jessica Lynn Demauro Pa-c NPPES

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

MRS. JESSICA LYNN DEMAURO PA-C (NPI 1346657251) is an individual medical provider in Syracuse, New York, licensed in New York (017667) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1346657251
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. JESSICA LYNN DEMAUROCredential: PA-C
Location Address111 WAVERLY AVENUESyracuse, NY 13244
Mailing Address111 Waverly AvenueSyracuse, NY 13244 · (315) 443-9005
Phone(315) 443-9005
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 14, 2014
Last NPPES UpdateMarch 16, 2017
✔ NPI 1346657251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 017667
111 WAVERLY AVENUE, Syracuse, NY 13244
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Jessica Lynn Gmyr Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jessica Lynn Demauro Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103133970
PECOS Enrollment IDI20150911001530
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.

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 Demauro's NPI number?

The NPI number for Jessica Demauro is 1346657251. It was assigned to this individual provider in the NPPES registry on July 14, 2014. The provider is also known as Ms. Jessica Lynn Gmyr Pa-C.

Where is Jessica Demauro located?

Jessica Demauro practices at 111 Waverly Avenue, Syracuse, NY 13244. The listed phone number is (315) 443-9005.

What is Jessica Demauro's specialty?

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

Is Jessica Demauro enrolled in Medicare?

Yes. Jessica Demauro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Demauro was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.