JACQUELINE MICHAELA DAVIS PA-C
NPI 1740008069
Physician Assistant in Jackson, MI

Q: What is Jacqueline Davis's NPI number?

The NPI number for Jacqueline Davis is 1740008069. It was assigned to this individual provider in the NPPES registry on September 26, 2024.

Q: What is Jacqueline Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Davis was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 26, 2024PECOS EnrolledAccepts Medicare Assignment

505 N JACKSON ST, JACKSON, MI 49201(517) 748-5500 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2026, Sep 26, 2024 (2 updates tracked since 2024).

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About Jacqueline Michaela Davis Pa-c NPPES

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

JACQUELINE MICHAELA DAVIS PA-C (NPI 1740008069) is an individual physician assistant in Jackson, Michigan and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1740008069

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJACQUELINE MICHAELA DAVISCredential: PA-C

Location Address505 N JACKSON STJackson, MI 49201-1266

Mailing Address505 N Jackson StJackson, MI 49201-1266 · (517) 748-5500

Phone(517) 748-5500

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 26, 2024

Last NPPES UpdateMay 15, 20262 updates tracked since enumeration

NPPES CertifiedMay 15, 2026

✔ NPI 1740008069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

505 N JACKSON ST, Jackson, MI 49201

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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

Jacqueline Michaela Davis Pa-c 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 ID5890220412

PECOS Enrollment IDI20241119004641

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.

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.

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.

KAREN LIZETH HERNANDEZ MARTINEZ LLMSW

Social Worker (Clinical)