Jessica Forman, PA-C
NPI 1114067212 · Medical Physician Assistant · New York, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica Forman, PA-C is a Medical Physician Assistant provider in New York, NY (NPI 1114067212).
Provider details
- NPI number
- 1114067212
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 006986 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
19 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 68 | 29 |
| Atorvastatin Calcium | 61 | 21 |
| Rosuvastatin Calcium | 52 | 21 |
| Amlodipine Besylate | 47 | 22 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 47 | 24 |
| Apixabanbrand: Eliquis | 29 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$281 across 17 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2024-12-08
- Certified
- 2024-12-08
Frequently asked questions
- What is Jessica Forman's NPI number?
- Jessica Forman's National Provider Identifier (NPI) is 1114067212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Forman's specialty?
- Jessica Forman is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jessica Forman located?
- Jessica Forman's practice location on file with NPPES is 177 Fort Washington Ave, New York, NY 10032-3733.
- What is Jessica Forman's phone number?
- The practice phone number listed in the NPPES registry for Jessica Forman is (212) 342-3622.
- Does Jessica Forman accept Medicare?
- Jessica Forman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessica Forman's NPI active?
- Yes — Jessica Forman's NPI (1114067212) is active in the NPPES registry as of the last update on 2024-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.