EMILY JOHANNA LUCASSIAN
NPI 1003439126
Physician Assistant in Clinton Twp, MI

Active since May 22, 2020PECOS Enrolled
15717 15 MILE RD, CLINTON TWP, MI 48035(586) 285-3800 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 3, 2025, Dec 15, 2021, Apr 1, 2021 and 4 more (7 updates tracked since 2020).

About Emily Johanna Lucassian NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY JOHANNA LUCASSIAN (NPI 1003439126) is an individual physician assistant in Clinton Twp, Michigan, licensed in Michigan (5601010141) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1003439126
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMILY JOHANNA LUCASSIAN
Location Address15717 15 MILE RDClinton Twp, MI 48035-2101
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806 · Fax (313) 876-1305
Sole ProprietorNo
Enumeration DateMay 22, 2020
Last NPPES UpdateMarch 3, 20257 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
NPI 1003439126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601010141
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

15717 15 MILE RD, Clinton Twp, MI 48035

Secondary Practice Locations 3

Location 11225 S Latson RdHowell, MI 48843-7643 · Phone (517) 338-2370
Location 23300 E Jefferson Ave Ste 100Detroit, MI 48207-4489 · Phone (313) 656-1618
Location 3110 E 2nd StRoyal Oak, MI 48067-2694 · Phone (800) 653-6568

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Emily Johanna Lucassian is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
15717 15 MILE RD
CLINTON TWP, MI 48035
Family Medicine
15717 15 MILE RD
CLINTON TOWNSHIP, MI 48035
Family Medicine
15717 15 MILE RD
CLINTON TWP, MI 48035
Family Medicine
15717 15 MILE RD
CLINTON TOWNSHIP, MI 48035
Internal Medicine
15717 15 MILE RD
CLINTON TOWNSHIP, MI 48035
Advanced Practice Midwife
15717 15 MILE RD
CLINTON TOWNSHIP, MI 48035
Nurse Practitioner (Family)
15717 15 MILE RD
CLINTON TOWNSHIP, MI 48035
Physician Assistant
15717 15 MILE RD
CLINTON TOWNSHIP, MI 48035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Lucassian's NPI number?

The NPI number for Emily Lucassian is 1003439126. It was assigned to this individual provider in the NPPES registry on May 22, 2020.

Where is Emily Lucassian located?

Emily Lucassian practices at 15717 15 Mile Rd, Clinton Twp, MI 48035. The listed phone number is (586) 285-3800.

What is Emily Lucassian's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Emily Lucassian enrolled in Medicare?

Yes. Emily Lucassian is registered in the Medicare PECOS enrollment system.

What insurance does Emily Lucassian accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Emily Lucassian as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emily Lucassian was last updated on March 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.