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Jacqueline Michaela Davis , PA-C

Physician Assistant β€’ Jackson, MI

Active NPI 1740008069 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

505 N Jackson St
Jackson, MI 492011266

Call 5177485500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

505 N Jackson St

Jackson, MI 492011266

Telephone 5177485500
Organization at the Same NPPES Address or Phone
Center For Family Health Facility NPI 1780784439

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Center For Family Health. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jacqueline Davis has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jacqueline Davis as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jackson and Michigan

102 active clinicians are listed under Physician Assistant with a practice address in Jackson, MI (6,989 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

3.9% of these 102 clinicians have the CMS telehealth indicator.

73.5% of these 102 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20241119004641

Enrollment State Jurisdiction

MI

PECOS Control ID

5890220412

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Center For Family Health

505 N Jackson St, Jackson, MI 492011266

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

27 listed
NPI 1649371071

Doctor of Medicine (M.D.)

Dr. Raul Andino , MD

Obstetrics & Gynecology

NPI 1033121652

Doctor of Medicine (M.D.)

Dr. Supreet Bains , MD

Family Medicine

NPI 1528554052

Doctor of Medicine (M.D.)

Dr. Mary Beljan , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1629384854

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Donna Benedict , NP

Nurse Practitioner

NPI 1558537266

Nurse Practitioner

Travis Brown , PA

Physician Assistant

NPI 1235465931

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location May 15, 2026

Registered at 505 N JACKSON ST, JACKSON, MI 492011266 (Tel: 5177485500)

πŸ“
Updated Business Mailing Address May 15, 2026

Registered at 505 N JACKSON ST, JACKSON, MI 492011266 (Tel: 5177485500)

βœ…
NPI Profile Active September 26, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 26, 2024

Registered at 620 HIDDEN VALLEY CLUB DR APT 103, ANN ARBOR, MI 481046750 (Tel: 5175885414)

πŸ“
Business Mailing Address (Initial Record) September 26, 2024

Registered at 620 HIDDEN VALLEY CLUB DR APT 103, ANN ARBOR, MI 481046750 (Tel: 5175885414)

πŸ‘€
Provider Name / Credentials (Initial Record) September 26, 2024

Recorded as JACQUELINE DAVIS, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2024

Physician Assistant

🟒
Initial NPI Registration & Enumeration September 26, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740008069
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2024
Last Update: May 15, 2026
Sole Proprietor: No

Other Physician Assistants in Jackson

All Physician Assistants in Jackson

Mailing Address

505 N Jackson St

Jackson, MI 492011266

Phone: 5177485500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.