JACLYN L MASCARIN PA
NPI 1639512791
Physician Assistant in Port Huron, MI
About Jaclyn L Mascarin Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN L MASCARIN PA (NPI 1639512791) is an individual physician assistant in Port Huron, Michigan, licensed in Michigan (5601011637) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Clearwater.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Jaclyn L Mascarin Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
PORT HURON, MI 48060
PORT HURON, MI 48060
PORT HURON, MI 48060
PORT HURON, MI 48060
PORT HURON, MI 48060
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 Mascarin's NPI number?
The NPI number for Jaclyn Mascarin is 1639512791. It was assigned to this individual provider in the NPPES registry on April 9, 2013.
Where is Jaclyn Mascarin located?
Jaclyn Mascarin practices at 1221 Pine Grove Ave, Port Huron, MI 48060. The listed phone number is (810) 989-3300.
What is Jaclyn Mascarin's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Jaclyn Mascarin enrolled in Medicare?
Yes. Jaclyn Mascarin is registered in the Medicare PECOS enrollment system.
What insurance does Jaclyn Mascarin accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jaclyn Mascarin 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 Jaclyn Mascarin was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jaclyn L Mascarin, PA · NPI 1639512791
Physician Assistant physician in Port Huron, Michigan. Individual provider, active in the CMS NPPES registry since April 9, 2013.
## Identity
- **NPI:** 1639512791 (Entity type: Individual)
- **Enumerated:** April 9, 2013
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 5601011637 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1221 PINE GROVE AVE, Port Huron, MI 48060-3511
- **Phone:** (810) 989-3300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1639512791) · Data from the CMS NPPES public registry.