JESSICA PANOFF PA-C
NPI 1548639560
Physician Assistant - Medical in Petoskey, MI

Q: What is Jessica Panoff's NPI number?

The NPI number for Jessica Panoff is 1548639560. It was assigned to this individual provider in the NPPES registry on September 21, 2015. The provider is also known as Jessica Ann Wallace.

Q: What is Jessica Panoff's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Panoff was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 21, 2015

116 W MITCHELL ST, PETOSKEY, MI 49770(231) 348-2828(231) 348-9609 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2020, Nov 23, 2020, Mar 17, 2018 (3 updates tracked since 2018).

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About Jessica Panoff Pa-c NPPES

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

JESSICA PANOFF PA-C (NPI 1548639560) is an individual medical provider in Petoskey, Michigan, licensed in Michigan (5601007439) and active in the NPI registry since September 2015. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548639560

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJESSICA PANOFFCredential: PA-C

Location Address116 W MITCHELL STPetoskey, MI 49770-2357

Mailing Address116 W MitchellPetoskey, MI 49770-2357 · (231) 348-2828

Phone(231) 348-2828

Fax(231) 348-9609

Sole ProprietorNo

Enumeration DateSeptember 21, 2015

Last NPPES UpdateDecember 18, 20203 updates tracked since enumeration

NPPES CertifiedDecember 18, 2020

✔ NPI 1548639560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601007439

116 W MITCHELL ST, Petoskey, MI 49770

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Other Names 1

Former Name (1)Jessica Ann Wallace

Secondary Practice Locations 2

Location 137450 Dequindre RdSterling Heights, MI 48310-3503 · Phone (586) 979-5100

Location 21890 US Highway 131 Unit 4Petoskey, MI 49770-8344 · Phone (231) 487-2000

Other Identifiers 1

Medicaid1548639560MI

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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

75%376 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

48%412 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

AMANDA DANIELLE GREENE

Physician Assistant (Medical)