Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jesse Anderson

Individual provider Physician Assistant · NPI 1104378215

Jesse Anderson is a Physician Assistant in Jamestown, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
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Practice location Address checks out

207 Foote Ave
Jamestown, NY 14701-7077
Phone: (716) 664-8120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 20646 (NY)

Record details

NPI number1104378215
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 25, 2016
Last updated in NPPESJune 15, 2021
Certification dateApril 7, 2020

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients177
Services billed 209 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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