Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Nixon Moore, PA-C

Individual provider Physician Assistant · NPI 1629114772

Jessica Nixon Moore, PA-C is a Physician Assistant in Rochester, New York. Graduated from George Washington University School of Medicine in 2003, 23 years ago. Practices with Rochester General Hospital, a 1,197-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
23
Trained at
George Washington University School of Medicine
Licensed in
NY
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1425 Portland Ave Dept OF Medicine- Box 287
Rochester, NY 14621-3001
Phone: (585) 922-5067
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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 014755 (NY)

Record details

NPI number1629114772
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 29, 2007
Last updated in NPPESFebruary 22, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Rochester General Hospital — 1197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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