ANITA D O'MALLEY PA
NPI 1790819126
Physician Assistant - Medical in Fayetteville, NY

Q: What is Anita O'malley's NPI number?

The NPI number for Anita O'malley is 1790819126. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Q: What is Anita O'malley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Anita O'malley was last updated on April 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 March 15, 2007PECOS Enrolled

4103 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066(315) 637-7800(315) 637-7808 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Anita D O'malley Pa NPPES

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

ANITA D O'MALLEY PA (NPI 1790819126) is an individual medical provider in Fayetteville, New York, licensed in New York (005753) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790819126

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameANITA D O'MALLEYCredential: PA

Location Address4103 MEDICAL CENTER DRFayetteville, NY 13066-6600

Mailing Address4103 Medical Center DrFayetteville, NY 13066-6600 · (315) 637-7800 · Fax (315) 637-7808

Phone(315) 637-7800

Fax(315) 637-7808

Sole ProprietorNo

Enumeration DateMarch 15, 2007

Last NPPES UpdateApril 14, 2015

✔ NPI 1790819126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363AM0700X

License✔ Licensed in NY · 005753

4103 MEDICAL CENTER DR, Fayetteville, NY 13066

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Other Identifiers 3

Medicare PINJ400011650NY

Medicare UPINJ400037511NY

Medicaid02405567NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anita D O'malley Pa 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.

Areas of Expertise CMS Part B claims 3

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.

25 services25 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.

17 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Other Providers at the Same Location NPPES 7

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

STEPHEN J JACKOWSKI RPA

Physician Assistant (Medical)