JACQUELINE BRITTANY AMSDELL P.A
NPI 1700228129
Physician Assistant - Surgical in Syracuse, NY

Q: What is Jacqueline Amsdell's NPI number?

The NPI number for Jacqueline Amsdell is 1700228129. It was assigned to this individual provider in the NPPES registry on July 26, 2013.

Q: What is Jacqueline Amsdell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since July 26, 2013PECOS Enrolled

739 IRVING AVE, SUITE 640, SYRACUSE, NY 13210(315) 464-6255(315) 464-6251 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 5, 2021, Dec 20, 2019, Oct 17, 2017 and 1 more (4 updates tracked since 2016).

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About Jacqueline Brittany Amsdell P.a NPPES

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

JACQUELINE BRITTANY AMSDELL P.A (NPI 1700228129) is an individual surgical provider in Syracuse, New York, licensed in Connecticut (4620) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700228129

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJACQUELINE BRITTANY AMSDELLCredential: P.A

Location Address739 IRVING AVE, SUITE 640Syracuse, NY 13210

Mailing Address251 Salina Meadows Pkwy, Ste 100Syracuse, NY 13212-4576 · (315) 464-6255 · Fax (315) 464-6251

Phone(315) 464-6255

Fax(315) 464-6251

Sole ProprietorNo

Enumeration DateJuly 26, 2013

Last NPPES UpdateMay 5, 20214 updates tracked since enumeration

NPPES CertifiedMay 5, 2021

✔ NPI 1700228129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363AS0400X

Licenses✔ Licensed in CT · 4620✔ Licensed in TX · PA08521

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA08521 (TX), 025830 (NY)

739 IRVING AVE, Syracuse, NY 13210

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Other Identifiers 3

Other8745NYTX · Bcbs

Medicaid335901001TX

Medicaid335901004TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Brittany Amsdell P.a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.