Active NPI
Jacqueline Karstedt, PA-C
- Medical Physician Assistant
- Irving, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 12657 Seneca Rd
Irving, NY 14081-9707 - Phone
- (714) 934-4400
- NPI assigned
- Jun 14, 2018
- Last updated
- Sep 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Medical Physician Assistant | 363AM0700X | NU | Primary |
Addresses
Primary practice location
12657 Seneca Rd
Irving, NY 14081-9707
Mailing address
425 Essjay Rd Ste 170
Williamsville, NY 14221-8235
Phone (716) 630-1219
Other practice location 1
2816 Pleasant Ave
Lake View, NY 14085-9624
Phone (716) 646-5500
Other practice location 2
5844 Southwestern Blvd Ste 500
Hamburg, NY 14075-3685
Phone (716) 646-5500
Other practice location 3
3900 N Buffalo St
Orchard Park, NY 14127-1842
Phone (716) 656-4832
Other names 1
- Jacqueline Raymond
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
295 Essjay Rd
Williamsville, NY 14221-8216
Phone (716) 630-1000
3900 N Buffalo St
Orchard Park, NY 14127-1842
Phone (716) 630-1000
85 High St
Buffalo, NY 14203-1149
Phone (716) 630-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022379 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Medical Group, P.C. | Current | Accepting new patients | |
| Buffalo Medical Group, P.C. | Current | Accepting new patients |
Locations
85 High St
Buffalo, NY 14203
Phone (716) 857-8623
3900 N Buffalo St
Orchard Park, NY 14127
Phone (716) 630-1112
425 Essjay Rd
Ste 170
Williamsville, NY 14221
Phone (716) 630-1219
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1881659506
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- Family Medicine Physician
- Irving, NY
- NPI 1457546400
-
- Durable Medical Equipment & Medical Supplies
- Lockport, NY
- NPI 1982566782
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1659865509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 ESSJAY RD STE 170",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218235",
"telephone_number": "716-630-1219",
"fax_number": "716-817-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12657 SENECA RD",
"city": "IRVING",
"state": "NY",
"postal_code": "140819707",
"telephone_number": "714-934-4400"
}
],
"practiceLocations": [
{
"address_1": "2816 Pleasant Ave",
"address_purpose": "LOCATION",
"city": "Lake View",
"state": "NY",
"postal_code": "140859624",
"country_code": "US",
"telephone_number": "716-646-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5844 Southwestern Blvd Ste 500",
"address_purpose": "LOCATION",
"city": "Hamburg",
"state": "NY",
"postal_code": "140753685",
"country_code": "US",
"telephone_number": "716-646-5500",
"fax_number": "716-646-5502",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3900 N Buffalo St",
"address_purpose": "LOCATION",
"city": "Orchard Park",
"state": "NY",
"postal_code": "141271842",
"country_code": "US",
"telephone_number": "716-656-4832",
"fax_number": "716-250-5935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARSTEDT",
"first_name": "JACQUELINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-14",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "RAYMOND",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Irving, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.