NPIMap

Individual provider Active NPI

Jillian Nicole Schweickhard, RPA-C

  • Physician Assistant
  • Buffalo, NY
National Provider Identifier
1174859664
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
013297-1 Issued in NY
Practice address
1083 Delaware Ave
Buffalo, NY 14209-1635
Phone
(716) 882-1023
NPI assigned
Oct 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 013297-1 NY Primary

Addresses

Primary practice location

1083 Delaware Ave
Buffalo, NY 14209-1635

Mailing address

67 Burwell Ave
Lancaster, NY 14086-2621
Phone (716) 984-4223

Other names 1

  • Jillian Nicole Kaczmarek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091224000016 NY Practitioner - Physician Assistant 7517007420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Medical Group PCGroup PAC ID 5698709988, 5 clinicians

Practice addresses (Care Compare)

1083 Delaware Ave
Buffalo, NY 14209-1635
Phone (716) 882-1023

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
013297NYMDClinical Neuropsychologist
013297-1NYMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1174859664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BURWELL AVE",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140862621",
            "telephone_number": "716-984-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091635",
            "telephone_number": "716-882-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEICKHARD",
        "first_name": "JILLIAN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013297-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "KACZMAREK",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.