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JESSICA NACKLEY PA
NPI 1992104962
Physician Assistant - Surgical in Newark, NY

Active since August 15, 2014PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1200 DRIVING PARK AVE STE 4, NEWARK, NY 14513(315) 359-2696(315) 359-2699 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2022, Feb 3, 2020 (2 updates tracked since 2020).

About Jessica Nackley Pa NPPES

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

JESSICA NACKLEY PA (NPI 1992104962) is an individual surgical provider in Newark, New York, licensed in New York (020740) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Newark-wayne Community Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1992104962
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJESSICA NACKLEYCredential: PA
Location Address1200 DRIVING PARK AVE STE 4Newark, NY 14513-1090
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (315) 359-2696 · Fax (315) 359-2699
Phone(315) 359-2696
Fax(315) 359-2699
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 15, 2014
Last NPPES UpdateDecember 16, 20222 updates tracked since enumeration
NPPES CertifiedDecember 16, 2022
✔ NPI 1992104962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 020740
1200 DRIVING PARK AVE STE 4, Newark, NY 14513
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1401 S Main StCanandaigua, NY 14424-2126 · Phone (585) 412-6491 · Fax (585) 412-6492
Location 22 Coulter Rd Ste 1640Clifton Springs, NY 14432-1122 · Phone (315) 462-1170 · Fax (315) 789-5071
Location 3875 Pre Emption RdGeneva, NY 14456-2042 · Phone (315) 789-5061 · Fax (315) 789-5071

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

Jessica Nackley Pa 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 ID4880816560
PECOS Enrollment IDI20170504000756
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 7

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 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.
90 services57 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
47 services27 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
22 services15 patients
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.
21 services20 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
19 services17 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
15 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Newark-Wayne Community Hospital

Acute Care Hospitals · Newark, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330030
Location111 Driving Park AvenueNewark, NY 14513 · Wayne County
Emergency services Birthing friendly

Clifton Springs Hospital And Clinic

Acute Care Hospitals · Clifton Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330265
Location2 Coulter RoadClifton Springs, NY 14432 · Ontario County
Emergency services

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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

MISS JACQUELINE NICOLE PALMER MCMSC, PA-C
Physician Assistant
1200 DRIVING PARK AVE STE 4
NEWARK, NY 14513
Wayne County (315) 359-2696

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 Jessica Nackley's NPI number?

The NPI number for Jessica Nackley is 1992104962. It was assigned to this individual provider in the NPPES registry on August 15, 2014.

Where is Jessica Nackley located?

Jessica Nackley practices at 1200 Driving Park Ave Ste 4, Newark, NY 14513. The listed phone number is (315) 359-2696.

What is Jessica Nackley's specialty?

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

Is Jessica Nackley enrolled in Medicare?

Yes. Jessica Nackley 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 Jessica Nackley affiliated with any hospitals?

According to CMS data, Jessica Nackley is affiliated with Newark-Wayne Community Hospital and Clifton Springs Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Jessica Nackley was last updated on December 16, 2022. 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.