Jessica Nackley, PA
NPI 1992104962ActiveIndividual· Physician Assistant, Surgical· Newark, NY
Physician Assistant, Surgical (PA) with Western New York Medical Practice PC, practicing in Newark, New York. 112 Medicare patients in 2024, $14,980 paid; nearly all of their 358 Part D prescriptions were generic (98%). Davol Inc. reported $20.02 in payments in 2025, mostly food and beverage. Lists Clifton Springs Hospital and Clinic and 1 other hospital as hospital affiliations.
Overview
| NPI | 1992104962 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Aug 15, 2014 |
| Last updated in NPPES | Dec 16, 2022 |
| Certified by provider | Dec 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 020740 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 112 |
|---|---|
| Services billed | 1,649 across 49 procedure codes |
| Paid by Medicare | $14,980 |
Part D prescriptions in 2024
| Prescriptions (claims) | 358 · 368 30-day fills |
|---|---|
| Patients | 276 |
| Total drug cost | $2,511 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Western New York Medical Practice PCFairport, NY · 524 clinicians
Hospital affiliations
- Clifton Springs Hospital and ClinicClifton Springs, NY
- Newark-Wayne Community HospitalNewark, NY
Industry payments (Open Payments)
- 2025$20.02 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Davol Inc. | $20.02 | 1 |
What the 2025 payments were for
- Food and Beverage$20.02 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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