Individual provider Active NPI

Jessie Leigh Wilson, PA-C

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1407513773
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
027733 Issued in NY
Practice address
2615 Culver Rd
Rochester, NY 14609-1716
Phone
(585) 336-5320
Fax
(585) 697-1598
NPI assigned
Nov 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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 027733 NY Primary

Addresses

Primary practice location

2615 Culver Rd
Rochester, NY 14609-1716

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

229 Summit St Ste 8
Batavia, NY 14020-1645
Phone (585) 201-7793

Other practice location 2

2420 Ridgeway Ave
Rochester, NY 14626-4114
Phone (585) 227-4000

Other practice location 3

1202 Driving Park Ave Ste 5
Newark, NY 14513-1057
Phone (315) 359-2690

Other practice location 4

30 Erie Canal Dr Ste G
Rochester, NY 14626-4604
Phone (585) 227-3106

Other practice location 5

625 Panorama Trl Ste 100
Rochester, NY 14625-2407
Phone (585) 248-2019

Other practice location 6

80 West Ave Ste 100
Brockport, NY 14420-1309
Phone (585) 637-7200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwilson433192@direct.rochesterregional.org Direct

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
I20220214001954 NY Practitioner - Physician Assistant 9830582931 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

80 W Ave
Brockport, NY 14420-1322
Phone (585) 395-0039

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.97 of 100Reported as group
Quality
70.96
Promoting interoperability
100
Improvement activities
40
Cost
82.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
027733NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Jan 5, 2026 Accepting new patients
United Memorial Medical Center Current Accepting new patients
Rochester General Hospital Physician Assistant CurrentSince Jan 5, 2026 Accepting new patients
Louis H. Medved MD CurrentSince Jul 28, 2024 Accepting new patients
Newark Wayne Community Hospital CurrentSince Jan 5, 2026 Accepting new patients
Rochester Urology Group, PLLC CurrentSince Nov 8, 2025 Accepting new patients
United Memorial Medical Center CurrentSince Nov 27, 2025 Accepting new patients
Newark Wayne Community Hospital CurrentSince Jan 5, 2026 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 5, 2026 Accepting new patients
Western New York Medical Practice P.C. Past Accepting new patients

Locations

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

229 Summit St
Ste 8
Batavia, NY 14020
Phone (585) 723-1120

80 West Ave
Ste 100
Brockport, NY 14420
Phone (585) 637-7200

80 West Ave
Brockport, NY 14420
Phone (585) 385-9030

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

1202 Driving Park Ave
Ste 5
Newark, NY 14513
Phone (315) 359-2661

2420 Ridgeway Ave
Rochester, NY 14626
Phone (585) 227-4000

2615 Culver Rd
Ste 100
Rochester, NY 14609
Phone (585) 336-5320

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

1000 South Ave
Rochester, NY 14620
Phone (585) 341-0366

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

2615 Culver Rd
Rochester, NY 14609
Phone (585) 336-5320

1000 South Ave
#95
Rochester, NY 14620
Phone (585) 341-8485

30 Erie Canal Dr
Ste G
Rochester, NY 14626
Phone (585) 227-3106

601 Elmwood Ave
#320
Rochester, NY 14642

Interoperability endpoints

  • Direct secure messaging: jwilson@cfu.medentdirect.com
  • Direct secure messaging: jwilson433192@direct.rochesterregional.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1407513773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 CULVER RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146091716",
            "telephone_number": "585-336-5320",
            "fax_number": "585-697-1598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 Summit St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140201645",
            "country_code": "US",
            "telephone_number": "585-201-7793",
            "fax_number": "585-201-7796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2420 Ridgeway Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264114",
            "country_code": "US",
            "telephone_number": "585-227-4000",
            "fax_number": "585-227-4003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1202 Driving Park Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131057",
            "country_code": "US",
            "telephone_number": "315-359-2690",
            "fax_number": "315-359-2128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Erie Canal Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264604",
            "country_code": "US",
            "telephone_number": "585-227-3106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Panorama Trl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252407",
            "country_code": "US",
            "telephone_number": "585-248-2019",
            "fax_number": "585-586-1755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 West Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brockport",
            "state": "NY",
            "postal_code": "144201309",
            "country_code": "US",
            "telephone_number": "585-637-7200",
            "fax_number": "585-637-6792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JESSIE",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwilson433192@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2615 Culver Rd",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146091716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.