Jessica Barber, PA-C
Individual provider Active NPI Physician Assistant · Iron Mountain, MI
NPI 1548037252 · NPPES record last updated Dec 4, 2023
Key facts
- NPI
- 1548037252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601012039 (MI)
- Practice address
- 1721 S Stephenson Ave
Iron Mountain, MI 49801-3637 - Phone
- (906) 776-5955
- NPI assigned
- Dec 4, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dickinson County Healthcare System
Practice addresses (Care Compare)
1500 W Ice Lake Rd
Iron River, MI 49935-8509
Phone (906) 776-5955
1711 S Stephenson Ave
Iron Mountain, MI 49801-3648
Phone (906) 776-5810
1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone (906) 774-1313
Hospital & facility affiliations
- Marshfield Medical Center
- Dickinson County Memorial Hospital
- Aspirus Iron River Hospital & Clinics, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231218002045 | MI | Practitioner - Physician Assistant | 3779932629 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601012039 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickinson County Healthcare System | Physician Assistant | Current |
Accepting new patients |
Locations
1711 S Stephenson Ave
Ste 115
Iron Mountain, MI 49801
Phone (906) 774-6186
1711 S Stephenson Ave
Ste 315
Iron Mountain, MI 49801
Phone (906) 774-6257
1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415
417 Washington Ave
Iron River, MI 49935
Phone (906) 265-9908
Interoperability endpoints
- jessica.barber.1@22710.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601012039 | MI | Yes |
Addresses
Primary practice location
1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Mailing address
1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone (906) 776-5955
Other providers in Iron Mountain, MI
- Robert Leonard Baker
- Faith Kathryn Bal
- Mark Balcer
- Mary Ellen Balcer
- Susan Elizabeth Balkum
- Alicia Katherine Barnes
- Amber Barnes
- Barry D. Johnson MD PC
- Lisa Basanese
- James A Batti
All providers in Iron Mountain, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.