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JACLYN NICOLE ANDERSON PA
NPI 1477950095
Physician Assistant in Ypsilanti, MI

Active since November 25, 2014PECOS EnrolledAccepts Medicare Assignment
5333 MCAULEY DRIVE, YPSILANTI, MI 48197(734) 712-3971(734) 887-8941 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jaclyn Nicole Anderson Pa NPPES

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

JACLYN NICOLE ANDERSON PA (NPI 1477950095) is an individual physician assistant in Ypsilanti, Michigan, licensed in Michigan (5601007235) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Ann Arbor Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1477950095
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACLYN NICOLE ANDERSONCredential: PA
Location Address5333 MCAULEY DRIVEYpsilanti, MI 48197
Mailing Address24 Frank Lloyd Wright Drive, J2000Ann Arbor, MI 48105 · (734) 747-6766 · Fax (734) 222-3100
Phone(734) 712-3971
Fax(734) 887-8941
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 25, 2014
Last NPPES UpdateJanuary 2, 2024
✔ NPI 1477950095 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 · 5601007235
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.
5333 MCAULEY DRIVE, Ypsilanti, MI 48197
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Jaclyn Nicole Anderson Pa 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 ID7911225214
PECOS Enrollment IDI20150417000136
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 3

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
45 services41 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
34 services34 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48197 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

RACHNA SAHASRABUDHE DO
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DRIVE, SUITE 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
PAUL ALAN BERKOWITZ M.D.
Internal Medicine (Nephrology)
5333 MCAULEY DRIVE, SUITE 4003
YPSILANTI, MI 48197
Washtenaw County (734) 712-3470
MORGAN LEE HODGES PA
Physician Assistant
5333 MCAULEY DRIVE, SUITE 2115
YPSILANTI, MI 48197
Washtenaw County (734) 712-3971
DR. DAVID PAUL STEINBERG M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
5333 MCAULEY DRIVE, SUITE 2009
YPSILANTI, MI 48197
Washtenaw County (734) 712-0050
DR. MISHA AFTAB KHAN M.D.
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DRIVE, SUITE 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
LILIAN D BRIGGS MD
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DRIVE, SUITE 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
MRS. PETRA BOONSTRA
Audiologist
5333 MCAULEY DRIVE, SUITE 2016
YPSILANTI, MI 48197
Washtenaw County (734) 434-3200
ARI KRISWARI MD
Physical Medicine & Rehabilitation
5333 MCAULEY DRIVE, SUITE 2009
YPSILANTI, MI 48197
Washtenaw County (734) 712-0050

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 Anderson's NPI number?

The NPI number for Jaclyn Anderson is 1477950095. It was assigned to this individual provider in the NPPES registry on November 25, 2014.

Where is Jaclyn Anderson located?

Jaclyn Anderson practices at 5333 Mcauley Drive, Ypsilanti, MI 48197. The listed phone number is (734) 712-3971.

What is Jaclyn Anderson's specialty?

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

Is Jaclyn Anderson enrolled in Medicare?

Yes. Jaclyn Anderson 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 Anderson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jaclyn Anderson 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 Anderson affiliated with any hospitals?

According to CMS data, Jaclyn Anderson is affiliated with Trinity Health Ann Arbor Hospital.

When was this NPI record last updated?

The NPPES record for Jaclyn Anderson was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.