JESSICA LYNN DOUGLAS PA-C
NPI 1194551630
Physician Assistant in Flint, MI

Active since September 11, 2024PECOS EnrolledAccepts Medicare Assignment
4466 W BRISTOL RD, FLINT, MI 48507(810) 733-1200(810) 733-0688 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 26, 2025, Sep 11, 2024 (2 updates tracked since 2024).

About Jessica Lynn Douglas Pa-c NPPES

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

JESSICA LYNN DOUGLAS PA-C (NPI 1194551630) is an individual physician assistant in Flint, Michigan and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2025).

NPPES Registry Identity

NPI1194551630
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA LYNN DOUGLASCredential: PA-C
Location Address4466 W BRISTOL RDFlint, MI 48507-3170
Mailing Address4466 W Bristol RdFlint, MI 48507-3170 · (810) 733-1200 · Fax (810) 733-0688
Fax(810) 733-0688
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2025
Enumeration DateSeptember 11, 2024
Last NPPES UpdateNovember 26, 20252 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
NPI 1194551630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

4466 W BRISTOL RD, Flint, MI 48507

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

Jessica Lynn Douglas 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 ID8729570262
PECOS Enrollment IDI20251122000402
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48507 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
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Physical Therapist
4466 W BRISTOL RD
FLINT, MI 48507
Physical Therapist
4466 W BRISTOL RD
FLINT, MI 48507
Orthopaedic Surgery
4466 W BRISTOL RD
FLINT, MI 48507
Orthopaedic Surgery
4466 W BRISTOL RD
FLINT, MI 48507
Dietitian, Registered
4466 W BRISTOL RD
FLINT, MI 48507
Physical Therapist
4466 W BRISTOL RD
FLINT, MI 48507
Physician Assistant
4466 W BRISTOL RD
FLINT, MI 48507
Occupational Therapist
4466 W BRISTOL RD
FLINT, MI 48507

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 Jessica Douglas's NPI number?

The NPI number for Jessica Douglas is 1194551630. It was assigned to this individual provider in the NPPES registry on September 11, 2024.

Where is Jessica Douglas located?

Jessica Douglas practices at 4466 W Bristol Rd, Flint, MI 48507. The listed phone number is (810) 733-1200.

What is Jessica Douglas's specialty?

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

Is Jessica Douglas enrolled in Medicare?

Yes. Jessica Douglas 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 Jessica Douglas was last updated on November 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.