Active NPI 1699889949 Individual Practitioner Female Practitioner

Susan M Jackson , FNP

Nurse Practitioner • Utica, NY

Professional Overview & Biography Verified Profile Summary

Susan Jackson, FNP is a certified Nurse Practitioner practicing in Utica, NY. With approximately 28 years of clinical experience since completing medical education in 1998, Susan Jackson delivers high-quality medical care to the local community at 1450 CHAMPLIN AVE.

Susan Jackson is affiliated with Primary Care Metabolic Disorders Medical Practice Pllc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1450 Champlin Ave

Utica, NY 135023662

Telephone 3156249000

Fax 3156249003

Associated Practice Facility / Clinic

🏢 Pulmonary Critical Care And Sleep Medicine Pllc Facility NPI 1194080291

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Utica, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +14.1 yrs vs City Avg

City Avg: 13.9 Yrs

State Avg: 13.6 Yrs

Regional Practice Density

24 Specialists

Practicing in Utica, NY (3155 Statewide)

Telehealth Adoption Rate

4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (28 Years) 28 Yrs

Utica Specialty Average (13.9 Years) 13.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	476	247	$225.14	$103.01
99213 Established patient office or other outpatient visit, typically 15 minutes	202	138	$160.17	$72.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	33	$315.00	$145.31
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	27	27	$20.00	$12.63
99442 Telephone medical discussion with physician, 11-20 minutes	26	20	$160.00	$67.63
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$30.00	$11.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	123	$206.93	$103.95
99213 Established patient office or other outpatient visit, typically 15 minutes	48	26	$145.42	$73.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$265.63	$145.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	303	101	$140.00	$74.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	48	$200.00	$104.80
99442 Telephone medical discussion with physician, 11-20 minutes	16	13	$140.00	$74.94
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$30.00	$20.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	300	116	$94.67	$76.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	42	$143.00	$106.83
99336 Established patient assisted living visit, typically 40 minutes	36	16	$210.00	$112.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$250.00	$135.24
99442 Telephone medical discussion with physician, 11-20 minutes	23	14	$116.52	$76.42
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	17	$30.00	$19.91
G0008 Administration of influenza virus vaccine	17	17	$25.00	$16.52
99443 Telephone medical discussion with physician, 21-30 minutes	15	11	$170.00	$108.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$165.00	$93.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	59	$130.15	$90.04
99213 Established patient office or other outpatient visit, typically 15 minutes	53	38	$83.67	$62.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$250.00	$136.70
99336 Established patient assisted living visit, typically 40 minutes	31	19	$210.37	$112.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	26	$225.00	$120.91
G0008 Administration of influenza virus vaccine	14	14	$25.00	$16.27
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$30.00	$19.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	325	111	$178.67	$86.67
99213 Established patient office or other outpatient visit, typically 15 minutes	127	68	$121.59	$59.03
99336 Established patient assisted living visit, typically 40 minutes	88	49	$221.60	$108.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	24	$145.00	$58.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$188.72	$90.93
99335 Established patient assisted living visit, typically 25 minutes	28	20	$191.46	$76.33
99239 Hospital discharge day management, more than 30 minutes	28	27	$210.00	$85.33
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	11	11	$306.18	$148.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	693	223	$151.22	$59.48
99239 Hospital discharge day management, more than 30 minutes	292	234	$207.05	$88.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	119	$178.76	$88.37
99336 Established patient assisted living visit, typically 40 minutes	136	54	$221.60	$111.53
99213 Established patient office or other outpatient visit, typically 15 minutes	80	50	$121.59	$59.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	31	$195.00	$85.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$395.00	$165.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	91	$178.76	$86.20
99213 Established patient office or other outpatient visit, typically 15 minutes	152	91	$121.59	$58.50
99336 Established patient assisted living visit, typically 40 minutes	123	53	$221.60	$108.80
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	14	13	$149.75	$73.81
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	11	11	$306.18	$150.12

Medical Specialties & State Licenses

CMS Verified: 2020-03-09

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NY 332294

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License NY 264949

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

01866164 (NY)

Hospital & Practice Group Affiliations

Primary Care Metabolic Disorders Medical Practice Pllc

1450 Champlin Ave, Utica, NY 135023643

Phone: 3156242900

Secondary Practice Locations

1703 Genesee St

Utica, NY 13501

Phone: 3157360155

2305 Genesee St

Utica, NY 135016107

Phone: 3156249000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Dr. Emile Wassel , MD

Internal Medicine - Nephrology

NPI 1023047552

Doctor of Medicine (M.D.)

Theresa Hagans

Nurse Practitioner

NPI 1063996890

Marjorie Naples , RD

Dietitian, Registered

NPI 1174036867

Registered Dietitian

Casey Kilborne , FNP-C

Nurse Practitioner - Primary Care

NPI 1225656648

Family Nurse Practitioner (Certified)

Dr. Anwar Wassel , MD

Internal Medicine - Pulmonary Disease

NPI 1376707521

Doctor of Medicine (M.D.)

Dr. Yekaterina Kashtanova , MD

Internal Medicine - Nephrology

NPI 1669692638

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location March 19, 2019

Registered at 1450 CHAMPLIN AVE, UTICA, NY 135023662 (Tel: 3156249000)

✅

NPI Profile Active February 09, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 09, 2013

Registered at 1703 GENESEE ST, UTICA, NY 13501 (Tel: 3157360155)

📍

Updated Business Mailing Address February 09, 2013

Registered at PO BOX 8155, UTICA, NY 13505 (Tel: 3157360155)

👤

Provider Name / Credentials Updated February 09, 2013

Recorded as SUSAN JACKSON, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2013

Registered Nurse (License #264949 in NY)

🟢

Initial NPI Registration & Enumeration August 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699889949

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 17, 2006

Last Update: March 09, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 8155

Utica, NY 13505

Phone: 3157360155

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.