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

Individual provider Physician Assistant · NPI 1396452702

Jessica Rae Robinson Merriel, PA-C is a Physician Assistant in Poughkeepsie, New York. Qualified in 2022, 4 years ago. Practices with Ken Homolya MD LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Massachusetts, New York and Tennessee.

Years since qualifying
4
Licensed in
MA, NY, TN
In the registry since
2022
Specialties on file
3
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

45 Reade Pl
Poughkeepsie, NY 12601-3947
Phone: (845) 454-8500
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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 036064 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA9147 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 6561 (TN)

Record details

NPI number1396452702
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 4, 2022
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ken Homolya Md Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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