Individual provider Active NPI

Jason Maxa, P.A.

  • Physician Assistant
  • Saginaw, MI
National Provider Identifier
1093778185
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004158 Issued in MI
Practice address
900 Cooper Ave
Suite 3100
Saginaw, MI 48602-5182
Phone
(989) 583-7450
Fax
(989) 583-7452
NPI assigned
Apr 10, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004158 MI Primary

Addresses

Primary practice location

900 Cooper Ave
Suite 3100
Saginaw, MI 48602-5182

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-2794

Other identifiers 3

IdentifierTypeStateIssuer
P00256268OtherMIRAILROAD MEDICARE
5731169OtherMIBCBSM PIN
1093778185MedicaidMI

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
I20040320000080 MI Practitioner - Physician Assistant 8325939440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1120 E Michigan Ave
Suite a
Lansing, MI 48912-1810
Phone (517) 364-5300

1120 E Michigan Ave a
Lansing, MI 48912-1810

2900 Hannah Blvd
Suite B102
East Lansing, MI 48823-5374
Phone (517) 364-8070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601004158MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc CurrentSince Sep 20, 2010 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Apr 1, 2020 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Apr 1, 2020 Accepting new patients
Covenant Medical Center, Inc CurrentSince Sep 20, 2010 Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients
Orthopaedic Center of Mid-Michigan P C Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

2900 Hannah Blvd
Ste 212
East Lansing, MI 48823
Phone (517) 319-1831

2900 Hannah Blvd
Ste B102
East Lansing, MI 48823
Phone (517) 364-8050

4660 S Hagadorn Rd
Ste 310
East Lansing, MI 48823
Phone (517) 364-8890

1120 E Michigan Ave
Ste A
Lansing, MI 48912
Phone (517) 364-9777

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

3394 E Jolly Rd
Ste A
Lansing, MI 48910
Phone (517) 253-5100

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

3875 Bay Rd
Ste 2S
Saginaw, MI 48603
Phone (989) 583-5370

4884 Berl Dr
Saginaw, MI 48604
Phone (989) 497-8768

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

900 Cooper Ave
Ste 3100
Saginaw, MI 48602
Phone (989) 583-5626

901 S Oakland St
Ste 201
Saint Johns, MI 48879
Phone (989) 224-2338

Organizations & group practices 8

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 3

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1093778185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-2794",
            "fax_number": "989-583-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COOPER AVE",
            "address_2": "SUITE 3100",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025182",
            "telephone_number": "989-583-7450",
            "fax_number": "989-583-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXA",
        "first_name": "JASON",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00256268",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "5731169",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093778185",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.