Individual provider Active NPI

Jessica Lytle, PA-C

  • Physician Assistant
  • Ann Arbor, MI
National Provider Identifier
1730338807
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005415 Issued in MI
Practice address
Iha Ur
4200 Whitehall Drive
Ann Arbor, MI 48105
Phone
(734) 995-0308
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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 5601005415 MI Primary

Addresses

Primary practice location

Iha Ur
4200 Whitehall Drive
Ann Arbor, MI 48105

Mailing address

24 Frank Lloyd Wright Drive
Suite J2000
Ann Arbor, MI 48105
Phone (734) 747-6766

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
I20090511000294 MI Practitioner - Physician Assistant 9133277668 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Ironwood Hospital and Clinics IncGroup PAC ID 9032013198, 165 clinicians

Practice addresses (Care Compare)

N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10565 Grand View Lane
Ironwood, MI 49938-9622

N10565 Grandview Lane
Ironwood, MI 49938-9622

N10565 Grandview LN Aspirus Ironwood
Aspirus Palliative Medicine Michi
Ironwood, MI 49938-9622
Phone (715) 843-1067

Hospital & facility affiliations

  • Aspirus Ironwood Hospital Hospital, Ironwood, MI, CCN 231333

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Oct 15, 2025 Accepting new patients
Theoria Medical Physician Assistant CurrentSince Jul 15, 2024 Accepting new patients
Iha Health Service Corporation CurrentSince Mar 13, 2023 Accepting new patients
Iha Health Services Corporation CurrentSince Mar 13, 2023 Accepting new patients
Saint Joseph Mercy Livingston Hospital CurrentSince Apr 17, 2017 Accepting new patients
Iha Health Services Corporation PastSince Mar 26, 2023 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

10020 Professional Centre Dr
Ste 120
Hamburg Twp, MI 48189
Phone (810) 231-0252

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

275 N Caledonia Dr
Owosso, MI 48867
Phone (989) 413-0753

1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

111 N Huron St
Ste 203
Ypsilanti, MI 48197
Phone (734) 480-0033

Interoperability endpoints

  • Direct secure messaging: jessica.lytle@2217.securemail.prognocis.com
  • Direct secure messaging: jlytle439155@direct.aspirus.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1730338807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "SUITE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-747-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IHA UR",
            "address_2": "4200 WHITEHALL DRIVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-995-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTLE",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.