Active NPI
Jacqueline Z Barkley, P.A.
- Physician Assistant
- Camillus, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 013751
- Practice address
- 5417 W Genesee St Ste 3
Camillus, NY 13031-2177 - Phone
- (315) 476-2323
- NPI assigned
- Jan 12, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 013751 | NY | Primary |
Addresses
Primary practice location
5417 W Genesee St Ste 3
Camillus, NY 13031-2177
Mailing address
1001 W Fayette St Ste 400
Syracuse, NY 13204-2866
Phone (315) 937-3433
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbarkley@crousemed.medentdirect.com | Direct | Crouse Medical Practice, PLLC |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100205000571 | NY | Practitioner - Physician Assistant | 2264575778 | 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
- Telehealth
- Offers telehealth services
- Group practices
- Crouse Medical Practice PLLC
Practice addresses (Care Compare)
5417 W Genesee St
Camillus, NY 13031-2176
Phone (315) 476-2323
736 Irving Ave
Syracuse, NY 13210-1687
Phone (315) 470-7111
Hospital & facility affiliations
- Centerwell Home Health
- Nascentia Health at Home
- Crouse Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crouse Medical Practice, PLLC | Medical | Current | Accepting new patients |
| North Medical PC | Current | Accepting new patients |
Locations
5417 W Genesee St
Ste 3
Camillus, NY 13031
Phone (315) 470-7409
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
739 Irving Ave
Ste 200
Syracuse, NY 13210
Phone (315) 479-5070
Interoperability endpoints
- jbarkley@crousemed.medentdirect.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1972563070
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Syracuse, NY
- NPI 1912939489
-
- Home Health Agency
- Syracuse, NY
- NPI 1265437982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1891025946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W FAYETTE ST STE 400",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042866",
"telephone_number": "315-937-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5417 W GENESEE ST STE 3",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130312177",
"telephone_number": "315-476-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKLEY",
"first_name": "JACQUELINE",
"middle_name": "Z",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-12",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "013751",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbarkley@crousemed.medentdirect.com",
"affiliation": "Y",
"endpointDescription": "email address in Medent",
"affiliationName": "Crouse Medical Practice, PLLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "jbarkley@crousemed.medentdirect.com",
"address_1": "5417 W Genesee St Ste 3",
"city": "Camillus",
"state": "NY",
"country_code": "US",
"postal_code": "130312177",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Camillus, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.