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

Jessica F Walz, PA

Individual provider Physician Assistant · NPI 1669544292

Jessica F Walz, PA is a Physician Assistant in Northport, New York. Qualified in 2003, 23 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group and accepts Medicare assignment. Licensed in Maryland, Maine and New York.

Years since qualifying
23
Licensed in
MD, ME, NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

79 Middleville Rd
Northport, NY 11768-2200
Phone: (443) 812-0141
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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 010622 (NY)
Physician Assistant Taxonomy 363A00000X · Licence C002646 (MD)
Physician Assistant Taxonomy 363A00000X · Licence PA001069 (ME)

Record details

NPI number1669544292
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESMay 29, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Northport