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

MS. Susan Elaine Jackson, RPA-C

Individual provider Medical Physician Assistant · NPI 1649557208

MS. Susan Elaine Jackson, RPA-C is a Physician Assistant in Lyons, New York. Qualified in 2011, 15 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
15
Licensed in
NY
In the registry since
2011

Practice location Address checks out

12 Leach Rd
Lyons, NY 14489-9732
Phone: (315) 946-6075
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 015280 (NY)

Record details

NPI number1649557208
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorYes
NPI enumeratedNovember 10, 2011
Last updated in NPPESNovember 10, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Rochester General Hospital — 1197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Lyons