Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jackie Mae Anderson, DO

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1447789565

Dr. Jackie Mae Anderson, DO is an Emergency Medicine in Rochester, New York. Graduated from Philadelphia College of Osteopathic Medicine in 2017, 9 years ago. Practices with Dubois Regional Medical Center, a 422-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
9
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
NY, PA
In the registry since
2017
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

601 Elmwood Ave
Rochester, NY 14642-4200
Phone: (585) 275-9555
Fax: (585) 473-3516
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 312232 (NY)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence OT018082 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 312232 (NY)

Record details

NPI number1447789565
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 12, 2017
Last updated in NPPESJuly 7, 2023
Certification dateSeptember 7, 2021
Mailing address601 Elmwood Avenue Box 655, Rochester, NY 14642-8655

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Dubois Regional Medical Center — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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