1. Home
  2. Directory
  3. Michigan
  4. Sault Sainte Marie
  5. Physician Assistant
  6. NPI Profile

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: August 09, 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
Phone(906) 632-5200
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
Open in Google Maps ↗

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 CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services18 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.

CARLA A BEHLING CFNP
Nurse Practitioner
2864 ASHMUN ST, SAULT TRIBAL HEALTH CENTER
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 632-5200
MR. GEORGE D. HELM R.PH.
Pharmacist
2864 ASHMUN ST
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 632-5236
NICOLE LYN KOZAL LLMSW
Social Worker (Clinical)
2864 ASHMUN ST
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 635-6075
SAULT TRIBE OF CHIPPEWA INDIANS
Nurse Practitioner (Family)
2864 ASHMUN ST
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 632-5200
MALLINDA LUMSDEN LMSW
Social Worker (Clinical)
2864 ASHMUN ST
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 632-5200
MRS. KATIE ELIZABETH MAYER PHARM.D.
Pharmacist
2864 ASHMUN ST
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 632-5236
KAREN ALEXANDER
Social Worker (Clinical)
2864 ASHMUN ST
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 632-5200
SAULT TRIBE OF CHIPPEWA INDIANS
Dentist (General Practice)
2864 ASHMUN ST
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 632-5200

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 Jade Small's NPI number?

The NPI number for Jade Small is 1023304417. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Jade Small located?

Jade Small practices at 2864 Ashmun St, Sault Sainte Marie, MI 49783. The listed phone number is (906) 632-5200.

What is Jade Small's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jade Small enrolled in Medicare?

Yes. Jade Small is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jade Small was last updated on June 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.