Individual provider Active NPI

Jessie Deaner, PA

  • Physician Assistant
  • Oneida, NY
National Provider Identifier
1942012158
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
033311 Issued in NY
Practice address
357 Genesee St
Oneida, NY 13421-2658
Phone
(315) 363-8862
Fax
(315) 363-3326
NPI assigned
Jan 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 033311 NY Primary

Addresses

Primary practice location

357 Genesee St
Oneida, NY 13421-2658

Mailing address

100 Metropolitan Park Dr Ste 100
Liverpool, NY 13088-7112
Phone (315) 870-9369

Other practice location 1

1226 E Water St
Syracuse, NY 13210-1155
Phone (315) 478-4185

Other practice location 2

2 Ellinwood Dr
New Hartford, NY 13413-1102
Phone (315) 724-1012

Other practice location 3

80 E Main St Ste 2A
Canton, NY 13617-1450
Phone (315) 714-2559

Other practice location 4

4211 Medical Center Dr
Fayetteville, NY 13066-6637
Phone (315) 329-0210

Other practice location 5

5700 W Genesee St Ste 124
Camillus, NY 13031-3206
Phone (315) 478-4185

Other practice location 6

5100 W Taft Rd Ste 4D
Liverpool, NY 13088-3810
Phone (315) 458-6669

Other practice location 7

192 Genesee St
Auburn, NY 13021-3361
Phone (315) 258-5253

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
I20250228002470 NY Practitioner - Physician Assistant 9739609124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of Ny Upstate Medical University, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Medical Professionals of Ny PLLCGroup PAC ID 0749378123, 57 clinicians

Practice addresses (Care Compare)

1226 E Water St
Syracuse, NY 13210-1155
Phone (315) 478-4185

357 Genesee St
Oneida, NY 13421-2658
Phone (315) 363-8862

Hospital & facility affiliations

  • Oneida Health Hospital Hospital, Oneida, NY, CCN 330115
  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215
  • Community Memorial Hospital, Inc Hospital, Hamilton, NY, CCN 331316
  • Wynn Hospital Hospital, Utica, NY, CCN 330044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Medical Professionals of Ny, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Associated Medical Professionals of Ny, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Crouse Radiology Associates LLP Past Accepting new patients

Locations

192 W Genesee St
Auburn, NY 13021
Phone (315) 258-5253

5700 W Genesee St
Ste 124
Camillus, NY 13031
Phone (315) 472-8841

80 E Main St
Ste 2A
Canton, NY 13617
Phone (315) 714-2559

4211 Medical Center Dr
Ste 211
Fayetteville, NY 13066
Phone (315) 329-0210

100 Metropolitan Park Dr
Ste 100
Liverpool, NY 13088
Phone (315) 870-9370

5100 W Taft Rd
Ste 4J
Liverpool, NY 13088
Phone (315) 701-2170

5100 W Taft Rd
Ste 4D
Liverpool, NY 13088
Phone (315) 452-2321

2 Ellinwood Dr
New Hartford, NY 13413
Phone (315) 507-5081

357 Genesee St
Ste 1
Oneida, NY 13421
Phone (315) 363-8862

357 Genesee St
Oneida, NY 13421
Phone (315) 363-8800

1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226

Interoperability endpoints

  • Direct secure messaging: jdeaner@ampofny.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.

Hospital & facility affiliations 12

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": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1942012158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 METROPOLITAN PARK DR STE 100",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130887112",
            "telephone_number": "315-870-9369",
            "fax_number": "315-870-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 GENESEE ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212658",
            "telephone_number": "315-363-8862",
            "fax_number": "315-363-3326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1226 E Water St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101155",
            "country_code": "US",
            "telephone_number": "315-478-4185",
            "fax_number": "315-478-0840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Ellinwood Dr",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134131102",
            "country_code": "US",
            "telephone_number": "315-724-1012",
            "fax_number": "315-724-5219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 E Main St Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NY",
            "postal_code": "136171450",
            "country_code": "US",
            "telephone_number": "315-714-2559",
            "fax_number": "315-386-3056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4211 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NY",
            "postal_code": "130666637",
            "country_code": "US",
            "telephone_number": "315-329-0210",
            "fax_number": "315-329-0215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 W Genesee St Ste 124",
            "address_purpose": "LOCATION",
            "city": "Camillus",
            "state": "NY",
            "postal_code": "130313206",
            "country_code": "US",
            "telephone_number": "315-478-4185",
            "fax_number": "315-478-0840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 W Taft Rd Ste 4D",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130883810",
            "country_code": "US",
            "telephone_number": "315-458-6669",
            "fax_number": "315-458-0819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "192 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130213361",
            "country_code": "US",
            "telephone_number": "315-258-5253",
            "fax_number": "315-358-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEANER",
        "first_name": "JESSIE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "033311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.