Jacquelyn Peterson
NPI 1124019948ActiveIndividual· Physician Assistant, Medical· Jamestown, NY
Physician Assistant, Medical in Jamestown, New York, licensed in NY, with an NPI issued in November 2005. Part D covered 26 prescriptions written in 2024, 96% of them generic.
Overview
| NPI | 1124019948 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 1, 2005 |
| Last updated in NPPES | Jun 15, 2021 |
| Certified by provider | May 13, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 007012 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 26 · 28 30-day fills |
|---|---|
| Total drug cost | $212.53 |
| Generic share | 96% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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