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

Jessica Nackley, PA

Individual provider Surgical Physician Assistant · NPI 1992104962

Jessica Nackley, PA is a Physician Assistant in Newark, New York. Qualified in 2014, 12 years ago. Practices with Western New York Medical Practice PC, a 528-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1200 Driving Park Ave Ste 4
Newark, NY 14513-1090
Phone: (315) 359-2696
Fax: (315) 359-2699
Show map & directions

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

Additional practice locations (3)

  • 401 S Main St, Canandaigua, NY 14424-2126 — (585) 412-6491
  • 2 Coulter Rd Ste 1640, Clifton Springs, NY 14432-1122 — (315) 462-1170
  • 875 Pre Emption Rd, Geneva, NY 14456-2042 — (315) 789-5061

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 020740 (NY)

Record details

NPI number1992104962
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 15, 2014
Last updated in NPPESDecember 16, 2022
Certification dateDecember 16, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Western New York Medical Practice Pc — 528 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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