JONATHAN FLYNN PA-C
NPI 1053135129
Physician Assistant in Ann Arbor, MI

Q: What is Jonathan Flynn's NPI number?

The NPI number for Jonathan Flynn is 1053135129. It was assigned to this individual provider in the NPPES registry on November 14, 2024.

Q: What is Jonathan Flynn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Flynn was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since November 14, 2024PECOS EnrolledAccepts Medicare Assignment

4200 WHITEHALL DR STE 150, ANN ARBOR, MI 48105(734) 995-0308 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2025, May 5, 2025, Nov 14, 2024 (3 updates tracked since 2024).

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About Jonathan Flynn Pa-c NPPES

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

JONATHAN FLYNN PA-C (NPI 1053135129) is an individual physician assistant in Ann Arbor, Michigan, licensed in Michigan (5601013278) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053135129

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJONATHAN FLYNNCredential: PA-C

Location Address4200 WHITEHALL DR STE 150Ann Arbor, MI 48105-9694

Mailing Address24 Frank Lloyd Wright Dr # J2000Ann Arbor, MI 48105-9484 · (734) 747-6766

Phone(734) 995-0308

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 14, 2024

Last NPPES UpdateOctober 7, 20253 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1053135129 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 · 5601013278

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4200 WHITEHALL DR STE 150, Ann Arbor, MI 48105

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Secondary Practice Locations 2

Location 1501 S Sharon Amity Rd Ste 300Charlotte, NC 28211-0035 · Phone (704) 377-2424

Location 2200 Hawthorne LnCharlotte, NC 28204-2515 · Phone (704) 384-4000

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

Jonathan Flynn Pa-c 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 ID7719497981

PECOS Enrollment IDI20251029001571

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230029

Location44405 Woodward AvePontiac, MI 48341 · Oakland County

Emergency services Birthing friendly

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230156

Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48105 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 10

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

MR. DALE EVERETTE RUSSELL PA-C

Physician Assistant