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DR. JACLYN SUMMER LISTON-CRANDALL M.D.
NPI 1114145133
Family Medicine in Tekonsha, MI

Active since April 23, 2007PECOS EnrolledAccepts Medicare Assignment
2218 US HIGHWAY 27 N, TEKONSHA, MI 49092(517) 767-4038(517) 767-3427 Get Directions Write a Review

NPPES record last updated: December 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jaclyn Summer Liston-crandall M.d. NPPES

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

DR. JACLYN SUMMER LISTON-CRANDALL M.D. (NPI 1114145133) is an individual family medicine provider in Tekonsha, Michigan, licensed in Michigan (4301089625) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of University Of Michigan Medical School (2004).

NPPES Registry Identity

NPI1114145133
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACLYN SUMMER LISTON-CRANDALLCredential: M.D.
Location Address2218 US HIGHWAY 27 NTekonsha, MI 49092-9261
Mailing Address2218 Us Highway 27 NTekonsha, MI 49092-9261 · (517) 767-4038 · Fax (517) 767-3427
Phone(517) 767-4038
Fax(517) 767-3427
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2004
Enumeration DateApril 23, 2007
Last NPPES UpdateDecember 16, 2014
✔ NPI 1114145133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301089625
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2218 US HIGHWAY 27 N, Tekonsha, MI 49092
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Other Identifiers 1

Medicare PIN0A37669MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Jaclyn Summer Liston-crandall M.d. 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 ID4587756069
PECOS Enrollment IDI20070829000105
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 6

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 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.
70 services49 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.
40 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
25 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Promedica Coldwater Regional Hospital

Acute Care Hospitals · Coldwater, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230022
Location274 E Chicago StColdwater, MI 49036 · Branch County
Emergency services Birthing friendly

Oaklawn Hospital

Acute Care Hospitals · Marshall, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230217
Location200 N MadisonMarshall, MI 49068 · Calhoun County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49092 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier13 claims2,600 services$1.75 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
1 supplier12 claims48 services$1.48 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers11 claims11 services$35.69 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers16 claims16 services$91.87 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers16 claims42 services$32.75 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers16 claims16 services$18.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

TIFFANY M BURNS MD
Family Medicine
2218 US HIGHWAY 27 N
TEKONSHA, MI 49092
Calhoun County (517) 767-4038
MEHMIYA RAGHID MD
Family Medicine
2218 US HIGHWAY 27 N
TEKONSHA, MI 49092
Calhoun County (517) 767-4038
DAVID L. LAMBRIX M.D.
Family Medicine
2218 US HIGHWAY 27 N
TEKONSHA, MI 49092
Calhoun County (517) 767-4038
CHRISTINE CLAIRE NAULT FNP-BC
Nurse Practitioner (Family)
2218 US HIGHWAY 27 N
TEKONSHA, MI 49092
Calhoun County (517) 767-4038
JENIECE KAYLA WERT PA-C
Physician Assistant (Medical)
2218 US HIGHWAY 27 N
TEKONSHA, MI 49092
Calhoun County (517) 767-4038

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 Jaclyn Liston-crandall's NPI number?

The NPI number for Jaclyn Liston-crandall is 1114145133. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Jaclyn Liston-crandall located?

Jaclyn Liston-crandall practices at 2218 Us Highway 27 N, Tekonsha, MI 49092. The listed phone number is (517) 767-4038.

What is Jaclyn Liston-crandall's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jaclyn Liston-crandall enrolled in Medicare?

Yes. Jaclyn Liston-crandall 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.

What insurance does Jaclyn Liston-crandall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Jaclyn Liston-crandall 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.

Is Jaclyn Liston-crandall affiliated with any hospitals?

According to CMS data, Jaclyn Liston-crandall is affiliated with Bronson Methodist Hospital, Promedica Coldwater Regional Hospital and Oaklawn Hospital.

When was this NPI record last updated?

The NPPES record for Jaclyn Liston-crandall was last updated on December 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.