Jacob E Perrin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601010447 Issued in MI

Practice address

818 W King St Ste 101
Owosso, MI 48867-2117

Phone

(989) 725-8171

Fax

(989) 723-1257

NPI assigned

Jan 22, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Healthcare Hospital, Owosso, MI, CCN 230121
• Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

Merit-based Incentive Payment System (MIPS)

Final score

82.58 of 100Reported as group

Quality

58.15

Promoting interoperability

100

Improvement activities

40

Cost

74.45

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: j.perrin@memorialhealthcare.midirect.net

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.

• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1235160532
  Medicare reassignment Care Compare group
• Memorial Hospital

  • General Practice Physician
  • Flushing, MI
  • NPI 1144428202

  Physician Assistant

  NPD
• Memorial Hospital

  • Anesthesiology Physician
  • Owosso, MI
  • NPI 1659527737
  NPD
• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1316008006

  Physician Assistant

  NPD (past)
• Memorial Hospital

  • Home Health Agency
  • Owosso, MI
  • NPI 1952498610
  NPD (past)

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

• Edward W Sparrow Hospital Association

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1073588711
  Care Compare affiliation
• Edward W Sparrow Hospital Association

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1760710719
  Care Compare affiliation
• Memorial Hospital

  • General Acute Care Hospital
  • Owosso, MI
  • NPI 1063414233
  Care Compare affiliation

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1649860776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W KING ST STE 101",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672117",
            "telephone_number": "989-725-8171",
            "fax_number": "989-723-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W KING ST STE 101",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672117",
            "telephone_number": "989-725-8171",
            "fax_number": "989-723-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIN",
        "first_name": "JACOB",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-22",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649860776",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ava Patterson
• Katarzyna Paulino, MA, LLPC, NCC
• Shelby Lee Payne, FNP
• Karlie Raene Pelkey
• Karen D. Penner, RN
• Summer Lynn Perrin, RD
• Breanne Perry, BHS
• Dessa Perry
• Marc W. Perry, MA, CAADC, ICAADC
• Rebecca Perry, LMSW

• Physician Assistant in Owosso, MI
• Providers in Owosso, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.