MRS. JAMIE LYNN ZUCAL PA-C
NPI 1104068386
Physician Assistant in Detroit, MI

Q: What is Jamie Zucal's NPI number?

The NPI number for Jamie Zucal is 1104068386. It was assigned to this individual provider in the NPPES registry on April 2, 2009. The provider is also known as Jamie Lynn Djordjevic PA.

Q: What is Jamie Zucal'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 Jamie Zucal was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 April 02, 2009PECOS EnrolledAccepts Medicare Assignment

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2698(313) 916-2687 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2025, Jan 27, 2023, Mar 3, 2021 and 1 more (4 updates tracked since 2021).

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About Mrs. Jamie Lynn Zucal Pa-c NPPES

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

MRS. JAMIE LYNN ZUCAL PA-C (NPI 1104068386) is an individual physician assistant in Detroit, Michigan, licensed in Michigan (5601003870) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains a secondary practice location in Southfield.

NPPES Registry Identity

NPI1104068386

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. JAMIE LYNN ZUCALCredential: PA-C

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address16001 W 9 Mile Rd # 3Southfield, MI 48075-4818 · (248) 849-2600 · Fax (248) 849-2610

Phone(313) 916-2698

Fax(313) 916-2687

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateApril 2, 2009

Last NPPES UpdateDecember 16, 20254 updates tracked since enumeration

NPPES CertifiedDecember 16, 2025

✔ NPI 1104068386 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 · 5601003870

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 ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 5601003870 (MI)

2799 W GRAND BLVD, Detroit, MI 48202

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Other Names 1

Former Name (1)Jamie Lynn Djordjevic Pa

Secondary Practice Location 1

Location 116001 W 9 Mile Rd # 3Southfield, MI 48075-4818 · Phone (248) 849-2600 · Fax (248) 849-2610

Other Identifiers 1

Other5601003870MI · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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

Mrs. Jamie Lynn Zucal 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 ID5799790382

PECOS Enrollment IDI20090826000252

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.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230302

Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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 20

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

HENRY FORD HOSPITAL

General Acute Care Hospital