Individual provider Active NPI

Jacob Mark Clapper, PA

  • Physician Assistant
  • Okemos, MI
National Provider Identifier
1730677238
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2090 Jolly Rd
Okemos, MI 48864-3996
Phone
(571) 349-3900
NPI assigned
Apr 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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 MI Primary

Addresses

Primary practice location

2090 Jolly Rd
Okemos, MI 48864-3996

Mailing address

5053 Bidwell St
Brighton, MI 48116-9702
Phone (810) 923-0505

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
I20181114002001 MI Practitioner - Physician Assistant 9830443647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compass Healthcare, PLLCGroup PAC ID 6002045895, 23 clinicians
Consulting Urology Associates PLLCGroup PAC ID 7416440805, 6 clinicians

Practice addresses (Care Compare)

2090 Jolly Rd
Suite 150
Okemos, MI 48864-6036
Phone (517) 349-3900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan CurrentSince Apr 14, 2023 Accepting new patients
Consulting Urology Associates PLLC CurrentSince Nov 11, 2025 Accepting new patients
McLaren Central Michigan CurrentSince Apr 14, 2023 Accepting new patients

Locations

451 Hidden Meadows Dr
Ste 290
Hillsdale, MI 49242
Phone (269) 226-5050

2800 Spring Arbor Rd
Jackson, MI 49203
Phone (517) 768-0600

200 N Madison St
Ste 3C
Marshall, MI 49068
Phone (517) 964-0265

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

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

2090 Jolly Rd
Ste 150
Okemos, MI 48864
Phone 5173493900503

Interoperability endpoints

  • Direct secure messaging: jclapper704238@direct.hfhs.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1730677238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 BIDWELL ST",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481169702",
            "telephone_number": "810-923-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 JOLLY RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643996",
            "telephone_number": "571-349-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAPPER",
        "first_name": "JACOB",
        "middle_name": "MARK",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.