Jacklyn Tkaczyk, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2110 16TH St Ste 4
Bay City, MI 48708-7609

Phone

(989) 892-2517

Fax

(989) 892-4860

NPI assigned

Sep 28, 2026

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1578476776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 16TH ST STE 4",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087609",
            "telephone_number": "989-892-2517",
            "fax_number": "989-892-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 16TH ST STE 4",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087609",
            "telephone_number": "989-892-2517",
            "fax_number": "989-892-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TKACZYK",
        "first_name": "JACKLYN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey A Thrush, LLMSW
• Lily Thurlow
• Natalie Avis Tighe
• Ryan R Tijerina
• Darcee Ann Timm
• Tlbay Inc (Baycare Pharmacy)
• Kristen Ann Tobin, PA-C
• Todd Rathke DDS, PLC
• Kirsten Danielle Todd, SLP
• Ann Marie Toevs, P.A.

• Physician Assistant in Bay City, MI
• Providers in Bay City, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.