KIANA JEFFERS PA
NPI 1376102657
Physician Assistant - Medical in New York, NY

Q: What is Kiana Jeffers's NPI number?

The NPI number for Kiana Jeffers is 1376102657. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Q: What is Kiana Jeffers's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kiana Jeffers was last updated on September 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 10, 2019PECOS Enrolled

91.11/100

CMS Quality Rating

489 5TH AVE FL 3, NEW YORK, NY 10017(212) 441-4400(212) 867-4353 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 29, 2020, Dec 3, 2019, Jun 10, 2019 (3 updates tracked since 2019).

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About Kiana Jeffers Pa NPPES

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

KIANA JEFFERS PA (NPI 1376102657) is an individual medical provider in New York, New York, licensed in New York (024439) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Middletown, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1376102657

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKIANA JEFFERSCredential: PA

Location Address489 5TH AVE FL 3New York, NY 10017-6145

Mailing Address129 W 29th St Fl 10New York, NY 10001-5105 · (415) 658-6791 · Fax (415) 520-0904

Phone(212) 441-4400

Fax(212) 867-4353

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 10, 2019

Last NPPES UpdateSeptember 11, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2023

✔ NPI 1376102657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 024439

Also ListedPhysician AssistantTaxonomy 363A00000X · License 024439 (NY)

489 5TH AVE FL 3, New York, NY 10017

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Secondary Practice Location 1

Location 1155 Crystal Run RdMiddletown, NY 10941-4028 · Phone (845) 703-6999 · Fax (845) 703-6297

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kiana Jeffers Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092149732

PECOS Enrollment IDI20200106000546

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.

91.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.71

Promoting Interoperability

100

Improvement Activities

Cost

98.42

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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.

JOHN DUJMOVIC APRN

Nurse Practitioner