Jesse Kibert, PA
NPI 1104072388 · Medical Physician Assistant · Canton, NY
Jesse Kibert, PA is a Medical Physician Assistant provider in Canton, NY (NPI 1104072388).
Provider details
- NPI number
- 1104072388
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-08-07
- Last updated
- 2011-07-06
Frequently asked questions
- What is Jesse Kibert's NPI number?
- Jesse Kibert's National Provider Identifier (NPI) is 1104072388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Kibert's specialty?
- Jesse Kibert is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jesse Kibert located?
- Jesse Kibert's practice location on file with NPPES is 4 Commerce Lane, Canton, NY 13617-3739.
- What is Jesse Kibert's phone number?
- The practice phone number listed in the NPPES registry for Jesse Kibert is (315) 386-8191.
- Is Jesse Kibert's NPI active?
- Yes — Jesse Kibert's NPI (1104072388) is active in the NPPES registry as of the last update on 2011-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.