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

Qiana Lenette Sutton, PAPHD

Individual provider Surgical Physician Assistant · NPI 1063535094

Qiana Lenette Sutton, PAPHD is a Physician Assistant in Syracuse, New York. Qualified in 1998, 28 years ago. Practices with Upstate Community Medical, PC, a 152-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
28
Licensed in
NJ, NY
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

4900 Broad Rd
Syracuse, NY 13215-2265
Phone: (315) 492-3446
Fax: (315) 492-5999
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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 015242 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 25MP00043700 (NJ)

Record details

NPI number1063535094
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAPHD
Sole proprietorNo
NPI enumeratedApril 6, 2007
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Upstate Community Medical, Pc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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