Jessica Fetterman, PA
NPI 1316025679 · Medical Physician Assistant · Manlius, NY
Jessica Fetterman, PA is a Medical Physician Assistant provider in Manlius, NY (NPI 1316025679).
Provider details
- NPI number
- 1316025679
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 5601004474 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
- 2006-11-02
- Last updated
- 2010-09-07
Frequently asked questions
- What is Jessica Fetterman's NPI number?
- Jessica Fetterman's National Provider Identifier (NPI) is 1316025679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Fetterman's specialty?
- Jessica Fetterman is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jessica Fetterman located?
- Jessica Fetterman's practice location on file with NPPES is 4282 Trout Lilly Ln, Manlius, NY 13104-9807.
- What is Jessica Fetterman's phone number?
- The practice phone number listed in the NPPES registry for Jessica Fetterman is (315) 877-2402.
- Is Jessica Fetterman's NPI active?
- Yes — Jessica Fetterman's NPI (1316025679) is active in the NPPES registry as of the last update on 2010-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.