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DR. JACKIE MAE ANDERSON DO
NPI 1447789565
Emergency Medicine in Rochester, NY

Active since June 12, 2017PECOS EnrolledAccepts Medicare Assignment
85.51/100
CMS Quality Rating
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-9555(585) 473-3516 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2023, Sep 7, 2021, Jun 12, 2017 (3 updates tracked since 2017).

About Dr. Jackie Mae Anderson Do NPPES

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

DR. JACKIE MAE ANDERSON DO (NPI 1447789565) is an individual emergency medicine provider in Rochester, New York, licensed in New York (312232) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with St James Mercy Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1447789565
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. JACKIE MAE ANDERSONCredential: DO
Location Address601 ELMWOOD AVERochester, NY 14642-4200
Mailing Address601 Elmwood Avenue Box 655Rochester, NY 14642-8655 · (585) 273-4398
Phone(585) 275-9555
Fax(585) 473-3516
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2017
Enumeration DateJune 12, 2017
Last NPPES UpdateJuly 7, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2021
✔ NPI 1447789565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 312232
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License OT018082 (PA)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 312232 (NY)
601 ELMWOOD AVE, Rochester, NY 14642
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Jackie Mae Grimes

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jackie Mae Anderson Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486059797
PECOS Enrollment IDI20210825001865, I20240514002733
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
58 services55 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
43 services42 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services20 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330151
Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County
Emergency services

Penn Highlands Mon Valley

Acute Care Hospitals · Monongahela, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390147
Location1163 Country Club RoadMonongahela, PA 15063 · Washington County
Emergency services

Penn Highlands Connellsville

Acute Care Hospitals · Connellsville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390184
Location401 East Murphy AvenueConnellsville, PA 15425 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

85.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.96
Promoting Interoperability100
Improvement Activities40
Cost59.35

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.

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
JIMENA CUBILLOS MD
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Monroe County (585) 275-3342
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100

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 Jackie Anderson's NPI number?

The NPI number for Jackie Anderson is 1447789565. It was assigned to this individual provider in the NPPES registry on June 12, 2017. The provider is also known as Ms. Jackie Mae Grimes.

Where is Jackie Anderson located?

Jackie Anderson practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-9555.

What is Jackie Anderson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jackie Anderson enrolled in Medicare?

Yes. Jackie Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jackie Anderson affiliated with any hospitals?

According to CMS data, Jackie Anderson is affiliated with St James Mercy Hospital, Penn Highlands Mon Valley and Penn Highlands Connellsville.

When was this NPI record last updated?

The NPPES record for Jackie Anderson was last updated on July 7, 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.