Jakob Pankonin

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2480 Rosewood N
Mt Pleasant, MI 48858-5003

Phone

(989) 775-3823

Fax

(810) 275-0307

NPI assigned

Jul 29, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
• McLaren Central Michigan Hospital, Mount Pleasant, MI, CCN 230080

Medicare enrollment (NPD)

Enrolled

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.

• Annu Mohan MD PLLC

  • Family Medicine Physician
  • Mt Pleasant, MI
  • NPI 1396048765
  Medicare reassignment

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

• McLaren Central Michigan

  • Rural Acute Care Hospital
  • Mt Pleasant, MI
  • NPI 1619941317
  Care Compare affiliation
• Mymichigan Medical Center Clare

  • General Acute Care Hospital
  • Clare, MI
  • NPI 1568414589
  Care Compare affiliation

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1063395747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 ROSEWOOD N",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488585003",
            "telephone_number": "989-775-3823",
            "fax_number": "810-275-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 ROSEWOOD N",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488585003",
            "telephone_number": "989-775-3823",
            "fax_number": "810-275-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKONIN",
        "first_name": "JAKOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-29",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon B Palmer, AUD, PHD
• Kristin Marie Palomino
• Goral Panchal, M.D.
• Vinil Panchasara, RPT
• Surta Janantik Pandya, RPT
• Harsh P Parikh, RPT
• Carolyn Parker, M.A., CCC-SLP
• Kuldeepsinh Bhadrasinh Parmar, RPT
• Twinet Parmer, LPC
• Courtney Clancy Pasiak, PT

• Physician Assistant in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.