Individual provider Active NPI

Jennifer Schlitzkus

  • Physician Assistant
  • Harrison, MI
National Provider Identifier
1659773547
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007160 Issued in MI
Practice address
815 N Clare Ave
Harrison, MI 48625-9194
Phone
(989) 539-2114
Fax
(989) 539-7747
NPI assigned
Sep 23, 2014
Last updated
Sep 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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 5601007160 MI Primary

Addresses

Primary practice location

815 N Clare Ave
Harrison, MI 48625-9194

Mailing address

815 N Clare Ave
Harrison, MI 48625-9194
Phone (989) 539-2114

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
I20141030001290 MI Practitioner - Physician Assistant 4385865666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Bay RegionGroup PAC ID 5597659011, 110 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

1900 Columbus Ave
Bay Regional
Bay City, MI 48708-6831
Phone (989) 894-3278

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

801 Joe Mann Blvd
Midland, MI 48642-8909

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601007160MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group Physician Assistant CurrentSince Sep 1, 2024 Accepting new patients
McLaren Bay Region Physician Assistant CurrentSince Sep 1, 2024 Accepting new patients
McLaren Bay Region CurrentSince Sep 1, 2024 Accepting new patients
McLaren Bay Region Past Accepting new patients
McLaren Medical Group Past Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

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

801 Joe Mann Blvd
Ste J
Midland, MI 48642
Phone (989) 794-5405

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

Interoperability endpoints

  • Direct secure messaging: jschlitzkus6920@mymichiganhealth.midirect.net

Organizations & group practices 5

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 7

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": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1659773547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N CLARE AVE",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486259194",
            "telephone_number": "989-539-2114",
            "fax_number": "989-539-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N CLARE AVE",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486259194",
            "telephone_number": "989-539-2114",
            "fax_number": "989-539-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLITZKUS",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, MI

Sources for this page

Verify at the official NPI Registry.