Active NPI
Jessie Deaner, PA
- Physician Assistant
- Oneida, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 033311
- 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
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 | 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
Enrollment records 1
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
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
- Rome Memorial Hospital, Inc
- Community Memorial Hospital, Inc
- Wynn Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Medical Professionals of Ny, PLLC | Current | Accepting new patients | |
| Associated Medical Professionals of Ny, PLLC | Current | 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
- 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.
-
- Urology Physician
- Syracuse, NY
- NPI 1467659060
-
- Urology Physician
- Fulton, NY
- NPI 1386062990
-
- Diagnostic Radiology Physician
- Syracuse, NY
- NPI 1447244587
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hamilton, NY
- NPI 1992707608
-
- General Acute Care Hospital
- Utica, NY
- NPI 1205877172
-
- General Acute Care Hospital
- Oneida, NY
- NPI 1962408203
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rome, NY
- NPI 1306807193
Hospital
-
- General Acute Care Hospital
- Rome, NY
- NPI 1376546440
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.