Jessica Nackley, PA
NPI 1992104962 · Surgical Physician Assistant · Newark, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica Nackley, PA is a Surgical Physician Assistant provider in Newark, NY (NPI 1992104962).
Provider details
- NPI number
- 1992104962
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 020740 (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 tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
204 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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 does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 90 | $76 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 47 | $67 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 21 | $107 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 19 | $14 |
| X-Ray of Knee, 4 Or More Views73564 | 15 | $20 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 100 | 93 |
| Meloxicam | 76 | 51 |
| Methylprednisolone | 36 | 36 |
| Oxycodone Hcl | 29 | 27 |
| Celecoxib | 16 | 12 |
| Tramadol Hcl | 16 | 15 |
| Cephalexin | 14 | 13 |
| Diazepam |
Practice location
Mailing address
Additional practice locations (3)
- 401 S Main StCanandaigua, NY 14424-2126Phone: (585) 412-6491Fax: (585) 412-6492
- 2 Coulter Rd Ste 1640Clifton Springs, NY 14432-1122Phone: (315) 462-1170Fax: (315) 789-5071
- 875 Pre Emption RdGeneva, NY 14456-2042Phone: (315) 789-5061Fax: (315) 789-5071
Registry dates
- Enumerated
- 2014-08-15
- Last updated
- 2022-12-16
- Certified
- 2022-12-16
Frequently asked questions
- What is Jessica Nackley's NPI number?
- Jessica Nackley's National Provider Identifier (NPI) is 1992104962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Nackley's specialty?
- Jessica Nackley is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jessica Nackley located?
- Jessica Nackley's practice location on file with NPPES is 1200 Driving Park Ave Ste 4, Newark, NY 14513-1090.
- What is Jessica Nackley's phone number?
- The practice phone number listed in the NPPES registry for Jessica Nackley is (315) 359-2696.
- Does Jessica Nackley accept Medicare?
- Jessica Nackley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessica Nackley's NPI active?
- Yes — Jessica Nackley's NPI (1992104962) is active in the NPPES registry as of the last update on 2022-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.