Individual provider Active NPI

Jessica Marie Price, PA-C

  • Physician Assistant
  • Ann Arbor, MI
National Provider Identifier
1225522436
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008710 Issued in MI
Practice address
2002 Hogback Rd Ste 17
Ann Arbor, MI 48105-9736
Phone
(734) 956-0051
Fax
(888) 976-6019
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601008710 MI Primary
Physician Assistant 363A00000X 085007105 IL

Addresses

Primary practice location

2002 Hogback Rd Ste 17
Ann Arbor, MI 48105-9736

Mailing address

4007 Carpenter Rd # 214
Ypsilanti, MI 48197-9644
Phone (734) 956-0051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181217000989 MI Practitioner - Physician Assistant 3375888571 Reassigns benefits to 1 organization
I20190722001047 IL Practitioner - Physician Assistant 3375888571 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085007105ILMDPhysician Assistant
5601008710MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Arbor Counseling Associates, LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

2002 Hogback Rd
Ste 17
Ann Arbor, MI 48105
Phone (734) 956-0051

4007 Carpenter Rd
Ypsilanti, MI 48197
Phone (586) 419-3007

Interoperability endpoints

  • Direct secure messaging: jprice@romanomd.emadirect.md
  • Direct secure messaging: bloomhealthcenters.jessicaprice@131200.advancedmd-direct.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1225522436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 CARPENTER RD # 214",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979644",
            "telephone_number": "734-956-0051",
            "fax_number": "888-976-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOGBACK RD STE 17",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059736",
            "telephone_number": "734-956-0051",
            "fax_number": "888-976-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008710",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085007105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.