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Jenna Mackey , PA-C

Physician Assistant β€’ Port Huron, MI

Active NPI 1306619481 Individual Practitioner Female Practitioner
Practice location in NPPES

1107 Stone St Ste 3
Port Huron, MI 480603569

Call 8102044494 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

1107 Stone St Ste 3

Port Huron, MI 480603569

Telephone 8102044494
Organization at the Same NPPES Address or Phone
Foot & Ankle Institute Of Sports Medicine, Llc Facility NPI 1336835875

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

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

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 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

2023

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.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

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)

Jenna Mackey 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 Jenna Mackey 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 Port Huron and Michigan

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Port Huron

7.7% of these 39 clinicians have the CMS telehealth indicator.

48.7% of these 39 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: 2026-03-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MI 5601013812

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

I20260415000182

Enrollment State Jurisdiction

MI

PECOS Control ID

6406322783

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.

Clinicians Sharing This Practice Address or Phone

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

1 listed
Dr. Rachelle Randall , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1558855155

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location March 27, 2026

Registered at 1107 STONE ST STE 3, PORT HURON, MI 480603569 (Tel: 8102044494)

πŸ“
Updated Business Mailing Address March 27, 2026

Registered at 1107 STONE ST STE 3, PORT HURON, MI 480603569 (Tel: 8102044494)

πŸ‘€
Provider Name / Credentials Updated March 27, 2026

Recorded as JENNA MACKEY, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2026

Physician Assistant (license number reported to NPPES: MI 5601013812)

βœ…
NPI Profile Active November 01, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 01, 2023

Registered at 3475 PLYMOUTH RD, ANN ARBOR, MI 481052550 (Tel: 7349957300)

πŸ“
Business Mailing Address (Initial Record) November 01, 2023

Registered at 3475 PLYMOUTH RD, ANN ARBOR, MI 481052550

πŸ‘€
Provider Name / Credentials (Initial Record) November 01, 2023

Recorded as JENNA MACKEY, PA-S

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration November 01, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1306619481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2023
Last Update: March 27, 2026
Sole Proprietor: Yes

Other Physician Assistants in Port Huron

All Physician Assistants in Port Huron

Mailing Address

1107 Stone St Ste 3

Port Huron, MI 480603569

Phone: 8102044494

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.