Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jesse J Kibert, PA

Medical Physician Assistant in Canton, NY · enumerated 2008 · practices at United Cerebral Palsy Assoc of the North Country Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104072388

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Jesse J Kibert

Credential PA

Sex Male

Practice address 4 Commerce Lane, Canton, NY, 13617

Phone (315) 386-8191

Fax (315) 386-1410

Enumeration date Aug 7, 2008

Last updated in NPPES Jul 6, 2011

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 014002 (NY) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier	Type	State	Issuer
110809	Other	KS	BLUE CROSS/BLUE SHIELD GROUP
100427890B	Medicaid	KS	-
01995615	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Jesse Kibert's NPI record?

Cross-check NPI 1104072388 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1104072388 active?

Yes, as of the latest NPPES snapshot, NPI 1104072388 is active (record last updated 2011-07-06).

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-07-06.