JENNIFER ELIZABETH PHILLIPS PAC
NPI 1366580227
Physician Assistant - Medical in Petoskey, MI

Active since February 02, 2007PECOS Enrolled
560 W MITCHELL ST STE 400, PETOSKEY, MI 49770(231) 330-3246 Get Directions Write a Review

NPPES record last updated: February 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Elizabeth Phillips Pac NPPES

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

JENNIFER ELIZABETH PHILLIPS PAC (NPI 1366580227) is an individual medical provider in Petoskey, Michigan, licensed in Washington (PA10004815) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1366580227
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER ELIZABETH PHILLIPSCredential: PAC
Location Address560 W MITCHELL ST STE 400Petoskey, MI 49770-2274
Mailing Address560 W Mitchell St Ste 400Petoskey, MI 49770-2274 · (231) 487-2490
Sole ProprietorNo
Enumeration DateFebruary 2, 2007
Last NPPES UpdateFebruary 7, 2019
NPI 1366580227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WA · PA10004815
Also ListedPhysician AssistantTaxonomy 363A00000X · License 5601003293 (MI)
560 W MITCHELL ST STE 400, Petoskey, MI 49770

Secondary Practice Location 1

Location 11100 9th AveSeattle, WA 98101-2756 · Phone (206) 223-6600

Other Identifiers 5

Medicaid8436487WA
Medicaid1366580227MI
OtherUS7122654WA · Aetna Specialist Pin
Other0039572WA · Labor And Industries#
Other4571LEWA · Blue Shield

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Elizabeth Phillips Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier22 claims22 services$2,156.12 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 8

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

Nurse Practitioner (Acute Care)
560 W MITCHELL ST STE 400
PETOSKEY, MI 49770
Physician Assistant (Surgical)
560 W MITCHELL ST STE 400
PETOSKEY, MI 49770
Nurse Practitioner (Family)
560 W MITCHELL ST STE 400
PETOSKEY, MI 49770
Nurse Practitioner
560 W MITCHELL ST STE 400
PETOSKEY, MI 49770
Nurse Practitioner
560 W MITCHELL ST STE 400
PETOSKEY, MI 49770
Nurse Practitioner (Family)
560 W MITCHELL ST STE 400
PETOSKEY, MI 49770
Nurse Practitioner (Family)
560 W MITCHELL ST STE 400
PETOSKEY, MI 49770
Thoracic Surgery (Cardiothoracic Vascular Surgery)
560 W MITCHELL ST STE 400, MHVS CARDIOVASCULAR & THORACIC SURGER
PETOSKEY, MI 49770

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 Jennifer Phillips's NPI number?

The NPI number for Jennifer Phillips is 1366580227. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Jennifer Phillips located?

Jennifer Phillips practices at 560 W Mitchell St Ste 400, Petoskey, MI 49770. The listed phone number is (231) 330-3246.

What is Jennifer Phillips's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jennifer Phillips enrolled in Medicare?

Yes. Jennifer Phillips is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Phillips accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jennifer Phillips 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.

When was this NPI record last updated?

The NPPES record for Jennifer Phillips was last updated on February 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.