Individual provider Active NPI

Jessie Jean Myers

  • Physician Assistant
  • Lansing, MI
National Provider Identifier
1629588108
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3520 Forest Rd FL 2
Lansing, MI 48910-3720
Phone
(877) 296-0111
Fax
(517) 347-8393
NPI assigned
Oct 10, 2017
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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 Primary

Addresses

Primary practice location

3520 Forest Rd FL 2
Lansing, MI 48910-3720

Mailing address

3520 Forest Rd FL 2
Lansing, MI 48910-3720
Phone (778) 297-0111

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
I20171019000294 MI Practitioner - Physician Assistant 7416223433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians
McLaren Greater LansingGroup PAC ID 7214833466, 96 clinicians

Practice addresses (Care Compare)

1500 S Main St
Eaton Rapids, MI 48827-1952
Phone (517) 633-9403

2134 Hampton PL
Okemos, MI 48864-3691
Phone (517) 347-3000

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7575

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group CurrentSince Jan 30, 2023 Accepting new patients
McLaren Greater Lansing Physician Assistant CurrentSince Dec 1, 2017 Accepting new patients
McLaren Medical Group Physician Assistant CurrentSince Jan 30, 2023 Accepting new patients
McLaren Greater Lansing Physician Assistant CurrentSince Dec 1, 2017 Accepting new patients
Mid-Michigan Physicians, PC Physician Assistant Past Accepting new patients

Locations

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

3520 Forest Rd
Lansing, MI 48910
Phone (517) 975-7800

3520 Forest Rd
Fl 2
Lansing, MI 48910
Phone (517) 975-9500

3520 Forest Rd
Ste 200
Lansing, MI 48910

405 W Greenlawn Ave
Ste 305
Lansing, MI 48910
Phone (517) 483-4780

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1629588108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 FOREST RD FL 2",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103720",
            "telephone_number": "778-297-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 FOREST RD FL 2",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103720",
            "telephone_number": "877-296-0111",
            "fax_number": "517-347-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JESSIE",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.