JACLYN SISSKIND MD
NPI 1629202783
Pediatrics in Baldwinsville, NY
About Jaclyn Sisskind Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN SISSKIND MD (NPI 1629202783) is an individual pediatrics provider in Baldwinsville, New York, licensed in New York (264529) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaclyn Sisskind Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jaclyn Sisskind reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 131 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
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 Jaclyn Sisskind's NPI number?
The NPI number for Jaclyn Sisskind is 1629202783. It was assigned to this individual provider in the NPPES registry on May 5, 2009.
Where is Jaclyn Sisskind located?
Jaclyn Sisskind practices at 3448 Route 31, Baldwinsville, NY 13027. The listed phone number is (315) 622-6395.
What is Jaclyn Sisskind's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jaclyn Sisskind enrolled in Medicare?
Yes. Jaclyn Sisskind is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jaclyn Sisskind's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Sisskind reassigns Medicare benefits to Pediatric Service Group (Syracuse, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaclyn Sisskind's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jaclyn Sisskind was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jaclyn Sisskind, MD · NPI 1629202783
Pediatrics physician in Baldwinsville, New York. Individual provider, active in the CMS NPPES registry since May 5, 2009.
## Identity
- **NPI:** 1629202783 (Entity type: Individual)
- **Enumerated:** May 5, 2009
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 264529 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3448 ROUTE 31, Baldwinsville, NY 13027
- **Phone:** (315) 622-6395 · **Fax:** (315) 622-3298
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pediatric Service Group (NPI 1770539066, Syracuse, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2024
- **Other identifiers:** Medicaid 03495585 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1629202783) · Data from the CMS NPPES public registry.