Individual provider Active NPI

Jasmine Cofield, PA-C

  • Physician Assistant
  • Troy, MI
National Provider Identifier
1487248795
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010452 Issued in MI
Practice address
100 W Big Beaver Rd Ste 200
Troy, MI 48084-5283
Phone
(734) 274-9404
Fax
(734) 822-0075
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 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 5601010452 MI Primary

Addresses

Primary practice location

100 W Big Beaver Rd Ste 200
Troy, MI 48084-5283

Mailing address

112 W York Ave
Flint, MI 48505-2028

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
I20210413002153 MI Practitioner - Physician Assistant 2769890631 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601010452MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Behavioral Solutions CurrentSince Jun 1, 2025 Accepting new patients
Complexcare Medical Group Midwest M PLLC Physician Assistant CurrentSince Sep 21, 2025 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Aug 14, 2025 Accepting new patients
Theoria Medical Physician Assistant CurrentSince Aug 26, 2024 Accepting new patients
Jawad a Shah, MD PC CurrentSince Jan 1, 2023 Accepting new patients
You Be Well II PC PastSince Jul 17, 2022 Accepting new patients

Locations

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

4436 Beecher Rd
Flint, MI 48532
Phone (810) 223-9324

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

G1069 N Ballenger Hwy
Flint, MI 48504
Phone (810) 235-2006

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

1950 S Rochester Rd
Rochester Hills, MI 48307
Phone (313) 744-5667

100 W Big Beaver Rd
Ste 200
Troy, MI 48084
Phone (248) 552-8195

Organizations & group practices 6

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": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1487248795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W YORK AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485052028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W BIG BEAVER RD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845283",
            "telephone_number": "734-274-9404",
            "fax_number": "734-822-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFIELD",
        "first_name": "JASMINE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.