SUSAN M JACKSON FNP
NPI 1699889949
Nurse Practitioner in Utica, NY

Q: What is Susan Jackson's NPI number?

The NPI number for Susan Jackson is 1699889949. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is Susan Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Jackson was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 17, 2006PECOS Enrolled

1450 CHAMPLIN AVE, UTICA, NY 13502(315) 624-9000(315) 624-9003 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2020, Mar 19, 2019 (2 updates tracked since 2019).

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About Susan M Jackson Fnp NPPES

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

SUSAN M JACKSON FNP (NPI 1699889949) is an individual nurse practitioner in Utica, New York, licensed in New York (332294) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699889949

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSUSAN M JACKSONCredential: FNP

Location Address1450 CHAMPLIN AVEUtica, NY 13502-3662

Mailing AddressPo Box 8155Utica, NY 13505 · (315) 736-0155 · Fax (315) 732-0393

Phone(315) 624-9000

Fax(315) 624-9003

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateAugust 17, 2006

Last NPPES UpdateMarch 9, 20202 updates tracked since enumeration

NPPES CertifiedMarch 9, 2020

✔ NPI 1699889949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · 332294

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 264949 (NY)

1450 CHAMPLIN AVE, Utica, NY 13502

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Secondary Practice Locations 2

Location 11703 Genesee StUtica, NY 13501 · Phone (315) 736-0155 · Fax (315) 732-0393

Location 22305 Genesee StUtica, NY 13501-6107 · Phone (315) 624-9000

Other Identifiers 1

Medicaid01866164NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan M Jackson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547317224

PECOS Enrollment IDI20090415000473

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

476 services247 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

202 services138 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

35 services33 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

26 services20 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Wynn Hospital

Acute Care Hospitals · Utica, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330044

Location111 Hospital DriveUtica, NY 13502 · Oneida County

Emergency services Birthing friendly

Oneida Health Hospital

Acute Care Hospitals · Oneida, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330115

Location321 Genesee StreetOneida, NY 13421 · Madison County

Emergency services Birthing friendly

Rome Memorial Hospital, Inc

Acute Care Hospitals · Rome, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330215

Location1500 North James StreetRome, NY 13440 · Oneida County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers19 claims33 services$5.26 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

1 supplier13 claims13 services$49.38 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers11 claims1,889 services$0.02 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers21 claims21 services$21.10 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARJORIE NAPLES RD

Dietitian, Registered

1450 CHAMPLIN AVE
UTICA, NY 13502

Oneida County (315) 624-9000

ASIMA KAJTAZOVIC FNP

Nurse Practitioner (Family)

1450 CHAMPLIN AVE
UTICA, NY 13502

Oneida County (315) 624-2900

PULMONARY CRITICAL CARE AND SLEEP MEDICINE PLLC

Internal Medicine (Pulmonary Disease)

1450 CHAMPLIN AVE
UTICA, NY 13502

Oneida County (315) 624-9000

MRS. CASEY LYNN KILBORNE FNP-C

Nurse Practitioner (Primary Care)

1450 CHAMPLIN AVE
UTICA, NY 13502

Oneida County (315) 624-9000

MOHAWK VALLEY FAMILY MEDICINE PLLC

Family Medicine

1450 CHAMPLIN AVE
UTICA, NY 13502

Oneida County (315) 624-2900

SLEEP DISORDERS LAB OF CENTRAL NEW YORK, LLC

Sleep Specialist, PhD

1450 CHAMPLIN AVE, SUITE 1
UTICA, NY 13502

Oneida County (315) 624-9004

ANWAR WASSEL MD

Internal Medicine (Pulmonary Disease)

1450 CHAMPLIN AVE
UTICA, NY 13502

Oneida County (315) 624-9000

DANIEL LEWIS ZEIDNER MD

Pediatrics

1450 CHAMPLIN AVE, UTICA PEDIATRICS
UTICA, NY 13502

Oneida County (315) 732-7909

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 Susan Jackson's NPI number?

The NPI number for Susan Jackson is 1699889949. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Susan Jackson located?

Susan Jackson practices at 1450 Champlin Ave, Utica, NY 13502. The listed phone number is (315) 624-9000.

What is Susan Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Susan Jackson enrolled in Medicare?

Yes. Susan Jackson is registered in the Medicare PECOS enrollment system.

Is Susan Jackson affiliated with any hospitals?

According to CMS data, Susan Jackson is affiliated with Wynn Hospital, Oneida Health Hospital and Rome Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Susan Jackson was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.