Jenna Mackey, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601013812 Issued in MI

Practice address

1107 Stone St Ste 3
Port Huron, MI 48060-3569

Phone

(810) 204-4494

NPI assigned

Nov 1, 2023

Sex

Female

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)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Foot & Ankle Institute of Sports Medicine, LLC

  • Foot & Ankle Surgery Podiatrist
  • Port Huron, MI
  • NPI 1336835875
  Medicare reassignment

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1306619481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 STONE ST STE 3",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603569",
            "telephone_number": "810-204-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 STONE ST STE 3",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603569",
            "telephone_number": "810-204-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "JENNA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-01",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601013812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John William Macdonald IX
• Laura Roberta Macdonald
• Michelle Macdonald, RN
• Rose Macdonald, LLPC
• Lisa Mae Mackaluso, APRN, FNP-C
• Kimia Maddahi, MD
• Madison Community Hospital Inc.
• Beth Marie Maes, PHARM.D.
• Kaitlyn Marie Mahaffy
• Beverly Maiers, PT

• Physician Assistant in Port Huron, MI
• Providers in Port Huron, 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 27, 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.