Jessica Lynne Martin, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

010137 Issued in NY

Practice address

2350 Ridgeway Ave
Suite a
Rochester, NY 14626-4127

Phone

(585) 922-2440

Fax

(585) 663-3293

NPI assigned

Jul 18, 2006

Last updated

May 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmartin100889@direct.rochesterregional.org

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.

• Western New York Medical Practice P.C.

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1063790608
  Medicare reassignment NPD
• Anthony L. Jordan Health Corporation

  dba Jordan at CCIA

  • Federally Qualified Health Center (FQHC)
  • Canandaigua, NY
  • NPI 1649529678
  Medicare reassignment
• Anthony L. Jordan Health Corporation

  dba Jordan Health Link

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
  • NPI 1346541414
  NPD
• Anthony L. Jordan Health Corporation

  dba Jordan Health Center Urgent Care

  • Urgent Care Clinic/Center
  • Rochester, NY
  • NPI 1528317567
  NPD
• Rochester General Hospital

  dba Wayne Medical Group

  • Internal Medicine Physician
  • Sodus, NY
  • NPI 1821163718
  NPD
• Western New York Medical Practice, P.C.

  dba Rochester Regional Health Eye Care

  • Ophthalmology Physician
  • Rochester, NY
  • NPI 1891467486
  NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1982623203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 RIDGEWAY AVE",
            "address_2": "SUITE A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264127",
            "telephone_number": "585-922-2440",
            "fax_number": "585-663-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 RIDGEWAY AVE",
            "address_2": "SUITE A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264127",
            "telephone_number": "585-922-2440",
            "fax_number": "585-663-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "010137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "PA0512",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "PO19010137",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE OPT",
            "identifier": "PA0512",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ROCHESTER",
            "identifier": "PO19010137",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010137",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE OPT",
            "identifier": "PO19010137",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hillary Leigh Martin, PMHNP
• Hope Martin
• Jaina Martin, R.N.
• Jamie J Martin, RN
• Jasmine Monique Martin
• Jose-Ann Martin, NP
• Kathleen M Martin, LCSW
• Katrina Brianna Martin, LPN
• Kijanna Martin
• Kyle Martin

• Medical Physician Assistant in Rochester, NY
• Providers in Rochester, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.

Verify at the official NPI Registry.