Individual provider Active NPI

Jillian M Ives, PA

  • Medical Physician Assistant
  • Oneida, NY
National Provider Identifier
1205169372
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
301 Genesee St Ste a
Oneida, NY 13421-2644
Phone
(315) 606-2601
Fax
(315) 361-2972
NPI assigned
Sep 8, 2009
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

301 Genesee St Ste a
Oneida, NY 13421-2644

Mailing address

301 Genesee St Ste a
Oneida, NY 13421-2644
Phone (315) 606-2601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091202000561 NY Practitioner - Physician Assistant 8628117793 Reassigns benefits to 2 organizations

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
Oneida Medical Practice PCGroup PAC ID 9830272350, 51 clinicians
Mosaic Health, Inc.Group PAC ID 4385826585, 8 clinicians

Practice addresses (Care Compare)

125 Fields Dr
Oneida, NY 13421-2642
Phone (315) 361-2205

139 Fields Dr
Oneida, NY 13421-2642
Phone (315) 361-2385

1651 Oneida St
Utica, NY 13501-4866
Phone 58532522807318

2 Rubin Dr
Rushville, NY 14544-9681
Phone (585) 554-4400

301 Genesee St
Oneida, NY 13421-2644

301 Genesee St-Attn Neurology
Suite C
Oneida, NY 13421-2644
Phone (315) 361-2377

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013593NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Health, Inc. CurrentSince Dec 14, 2022 Accepting new patients
Oneida Medical Practice, PC CurrentSince Jan 1, 2026 Accepting new patients
Mosaic Health, Inc. CurrentSince Dec 14, 2022 Accepting new patients
Oneida Medical Practice, PC CurrentSince Jan 1, 2026 Accepting new patients

Locations

301 Genesee St
Ste A
Oneida, NY 13421
Phone (315) 361-2385

301 Genesee St
Ste C
Oneida, NY 13421
Phone (315) 361-2377

1 S Washington St
Ste 300
Rochester, NY 14614
Phone (585) 325-2280

2 Rubin Dr
Rushville, NY 14544
Phone (585) 554-4400

Organizations & group practices 5

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

Hospital & facility affiliations 1

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": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1205169372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GENESEE ST STE A",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212644",
            "telephone_number": "315-606-2601",
            "fax_number": "315-361-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GENESEE ST STE A",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212644",
            "telephone_number": "315-606-2601",
            "fax_number": "315-361-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVES",
        "first_name": "JILLIAN",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.