MRS. JACLYN MARIE CHRISTENSON PA-C
NPI 1407001399
Physician Assistant - Surgical in Syracuse, NY
About Mrs. Jaclyn Marie Christenson Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACLYN MARIE CHRISTENSON PA-C (NPI 1407001399) is an individual surgical provider in Syracuse, New York, licensed in New York (009683-1) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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. Jaclyn Marie Christenson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SYRACUSE, NY 13215
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 Jaclyn Christenson's NPI number?
The NPI number for Jaclyn Christenson is 1407001399. It was assigned to this individual provider in the NPPES registry on November 19, 2008.
Where is Jaclyn Christenson located?
Jaclyn Christenson practices at 4900 Broad Rd, Syracuse, NY 13215. The listed phone number is (315) 492-5011.
What is Jaclyn Christenson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Jaclyn Christenson enrolled in Medicare?
Yes. Jaclyn Christenson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jaclyn Christenson was last updated on July 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mrs. Jaclyn Marie Christenson, PA-C · NPI 1407001399
Surgical physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since November 19, 2008.
## Identity
- **NPI:** 1407001399 (Entity type: Individual)
- **Enumerated:** November 19, 2008
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 009683-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4900 BROAD RD, Syracuse, NY 13215-2265
- **Phone:** (315) 492-5011
## 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:** July 21, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1407001399) · Data from the CMS NPPES public registry.