DANIELLE NEESAM
NPI 1417565086
Physician Assistant in Jackson, MI

Active since July 20, 2020PECOS EnrolledAccepts Medicare Assignment
93.55/100
CMS Quality Rating
309 PAGE AVE, JACKSON, MI 49201(517) 205-1234(517) 205-1050 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 9, 2025, Jul 20, 2020 (2 updates tracked since 2020).

About Danielle Neesam NPPES

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

DANIELLE NEESAM (NPI 1417565086) is an individual physician assistant in Jackson, Michigan, licensed in Michigan (5601009884) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1417565086
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDANIELLE NEESAM
Location Address309 PAGE AVEJackson, MI 49201-2419
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806
Fax(517) 205-1050
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 20, 2020
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
NPI 1417565086 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 · 5601009884
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.

309 PAGE AVE, Jackson, MI 49201

Secondary Practice Location 1

Location 1205 N East AveJackson, MI 49201-1753 · Phone (517) 205-4800

Other Identifiers 1

Other5601009884MI · Michigan Physician Assistant License

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

Danielle Neesam 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 ID4587076922
PECOS Enrollment IDI20201209001244, I20251016002171
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
105 services62 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.86
Promoting Interoperability100
Improvement Activities40
Cost57.31

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.

Nurse Practitioner
309 PAGE AVE
JACKSON, MI 49201
Nurse Practitioner (Adult Health)
309 PAGE AVE
JACKSON, MI 49201
Nurse Practitioner
309 PAGE AVE
JACKSON, MI 49201
Clinical Medical Laboratory
309 PAGE AVE
JACKSON, MI 49201
Physician Assistant
309 PAGE AVE
JACKSON, MI 49201
Internal Medicine (Interventional Cardiology)
309 PAGE AVE
JACKSON, MI 49201
Internal Medicine (Interventional Cardiology)
309 PAGE AVE
JACKSON, MI 49201
Internal Medicine (Interventional Cardiology)
309 PAGE AVE
JACKSON, MI 49201

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 Danielle Neesam's NPI number?

The NPI number for Danielle Neesam is 1417565086. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Danielle Neesam located?

Danielle Neesam practices at 309 Page Ave, Jackson, MI 49201. The listed phone number is (517) 205-1234.

What is Danielle Neesam's specialty?

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

Is Danielle Neesam enrolled in Medicare?

Yes. Danielle Neesam 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.

Is Danielle Neesam affiliated with any hospitals?

According to CMS data, Danielle Neesam is affiliated with Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for Danielle Neesam was last updated on October 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.