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JENNA MACKEY PA-C
NPI 1306619481
Physician Assistant in Port Huron, MI

Active since November 01, 2023PECOS Enrolled
1107 STONE ST STE 3, PORT HURON, MI 48060(810) 204-4494 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2026, Nov 1, 2023 (2 updates tracked since 2023).

About Jenna Mackey Pa-c NPPES

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

JENNA MACKEY PA-C (NPI 1306619481) is an individual physician assistant in Port Huron, Michigan, licensed in Michigan (5601013812) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1306619481
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNA MACKEYCredential: PA-C
Location Address1107 STONE ST STE 3Port Huron, MI 48060-3569
Mailing Address1107 Stone St Ste 3Port Huron, MI 48060-3569 · (810) 204-4494
Phone(810) 204-4494
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 1, 2023
Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1306619481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601013812
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.
1107 STONE ST STE 3, Port Huron, MI 48060
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Mackey Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406322783
PECOS Enrollment IDI20260415000182
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 48060 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 2

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

FOOT & ANKLE INSTITUTE OF SPORTS MEDICINE, LLC
Podiatrist (Foot & Ankle Surgery)
1107 STONE ST STE 3
PORT HURON, MI 48060
St. Clair County (810) 204-4494
RACHELLE RANDALL DPM
Podiatrist (Foot & Ankle Surgery)
1107 STONE ST STE 3
PORT HURON, MI 48060
St. Clair County (810) 204-4494

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 Jenna Mackey's NPI number?

The NPI number for Jenna Mackey is 1306619481. It was assigned to this individual provider in the NPPES registry on November 1, 2023.

Where is Jenna Mackey located?

Jenna Mackey practices at 1107 Stone St Ste 3, Port Huron, MI 48060. The listed phone number is (810) 204-4494.

What is Jenna Mackey's specialty?

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

Is Jenna Mackey enrolled in Medicare?

Yes. Jenna Mackey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenna Mackey was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.