Individual provider Active NPI

Jessica L Gelfand, PA-C

  • Surgical Physician Assistant
  • Novi, MI
National Provider Identifier
1053893263
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
5601008801 Issued in MI
Practice address
26750 Providence Pkwy Ste 200
Novi, MI 48374-1212
Phone
(866) 974-2673
Fax
(866) 939-2673
NPI assigned
Sep 4, 2018
Last updated
Sep 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 5601008801 MI Primary

Addresses

Primary practice location

26750 Providence Pkwy Ste 200
Novi, MI 48374-1212

Mailing address

18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181009000916 MI Practitioner - Physician Assistant 5799037446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Southern Illinois University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Therapy Centers, IncGroup PAC ID 5092605717, 140 clinicians

Practice addresses (Care Compare)

22250 Providence Dr
Suite 401
Southfield, MI 48075-6212
Phone (248) 563-0306

26750 Providence Pkwy
Suite 200
Novi, MI 48374-1212
Phone (248) 349-7015

26850 Providence Pkwy
Suite 260
Novi, MI 48374-1256
Phone (248) 465-5140

33010 Northwestern Hwy
West Bloomfield, MI 48322-3634

8273 Grand River Rd
Suite 210
Brighton, MI 48114-9346
Phone (866) 974-2673

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
69.19
Promoting interoperability
100
Improvement activities
40
Cost
83.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601008801MIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital CurrentSince Oct 6, 2025 Accepting new patients
The Porretta Center for Orthopaedic Surgery, PLLC Surgical CurrentSince Oct 1, 2018 Accepting new patients
The Porretta Center for Orthopaedic Surgery, PLLC CurrentSince Oct 1, 2018 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Oct 6, 2025 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
Medical X-Ray Consultants, LTD Surgical Past Accepting new patients

Locations

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706

1225 S Latson Rd
Ste 130
Howell, MI 48843
Phone (517) 338-2360

1225 S Latson Rd
Ste 380
Howell, MI 48843
Phone (248) 465-5140

26750 Providence Pkwy
Ste 200
Novi, MI 48374
Phone (248) 349-7015

26850 Providence Pkwy
Ste 260
Novi, MI 48374
Phone (248) 465-5140

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

22250 Providence Dr
Ste 40
Southfield, MI 48075
Phone (248) 563-0306

22250 Providence Dr
Ste 401
Southfield, MI 48075
Phone (248) 349-7015

Interoperability endpoints

  • Direct secure messaging: jessica.gelfand.1@22724.direct.athenahealth.com
  • Direct secure messaging: jgelfand1129813@direct.hfhs.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1053893263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26750 PROVIDENCE PKWY STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741212",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELFAND",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601008801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.