JADE D SMALL P.A.
NPI 1023304417
Physician Assistant - Medical in Sault Sainte Marie, MI

Active since June 23, 2011PECOS EnrolledAccepts Medicare Assignment
2864 ASHMUN ST, SAULT SAINTE MARIE, MI 49783(906) 632-5200(906) 632-5276 Get Directions Write a Review

NPPES record last updated: June 23, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jade D Small P.a. NPPES

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

JADE D SMALL P.A. (NPI 1023304417) is an individual medical provider in Sault Sainte Marie, Michigan, licensed in Michigan (5601006060) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1023304417
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJADE D SMALLCredential: P.A.
Location Address2864 ASHMUN STSault Sainte Marie, MI 49783-3740
Mailing Address2864 Ashmun StSault Sainte Marie, MI 49783-3740 · (906) 632-5200 · Fax (906) 632-5276
Fax(906) 632-5276
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 23, 2011
NPI 1023304417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MI · 5601006060
2864 ASHMUN ST, Sault Sainte Marie, MI 49783

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jade D Small P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921232133
PECOS Enrollment IDI20151217001334
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.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Emergency department visit for problem of mild to moderate severity

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

This service was performed 13 times for 12 patients

Other Providers at the Same Location NPPES 20

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

Family Medicine
2864 ASHMUN ST
SAULT SAINTE MARIE, MI 49783
Nurse Practitioner
2864 ASHMUN ST, SAULT TRIBAL HEALTH CENTER
SAULT SAINTE MARIE, MI 49783
Nurse Practitioner (Family)
2864 ASHMUN ST, SAULT TRIBAL HEALTH CENTER
SAULT SAINTE MARIE, MI 49783
Family Medicine
2864 ASHMUN ST
SAULT SAINTE MARIE, MI 49783
Pharmacist
2864 ASHMUN ST
SAULT SAINTE MARIE, MI 49783
Counselor (Professional)
2864 ASHMUN ST, 3RD FLOOR
SAULT SAINTE MARIE, MI 49783
Pharmacist
2864 ASHMUN ST
SAULT SAINTE MARIE, MI 49783
Pharmacist
2864 ASHMUN ST
SAULT S MARIE, MI 49783

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023304417, enumerated as an "individual" on June 23, 2011.

The provider is located at 2864 ASHMUN ST SAULT SAINTE MARIE, MI 49783 and the phone number is (906) 632-5200.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.