Individual provider Active NPI

Jason Joseph Schumer, PAC

  • Physician Assistant
  • Lansing, MI
National Provider Identifier
1912436882
Registry record updated Jun 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008226 Issued in MI
Practice address
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone
(151) 736-4100
NPI assigned
Jun 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2017

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 5601008226 MI Primary

Addresses

Primary practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Mailing address

1307 South Dr
Mount Pleasant, MI 48858-3236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170926000820 MI Practitioner - Physician Assistant 6204100589 Reassigns benefits to 6 organizations
I20220322001934 CO Practitioner - Physician Assistant 6204100589 Reassigns benefits to 1 organization

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
Advanced Dermatology of Michigan PCGroup PAC ID 0941511224, 40 clinicians

Practice addresses (Care Compare)

13450 E 12 Mile Rd
Warren, MI 48088-3671
Phone (586) 759-5525

4170 Cedar Bluff Dr
Petoskey, MI 49770-7627
Phone (231) 487-2230

Hospital & facility affiliations

  • McLaren Northern Michigan Hospital, Petoskey, MI, CCN 230105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601008226MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Service Physicians, Inc. CurrentSince Mar 1, 2022 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Sep 1, 2020 Accepting new patients
Emergency Service Physicians, Inc. CurrentSince Mar 1, 2022 Accepting new patients

Locations

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

Organizations & group practices 9

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 2

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1912436882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 SOUTH DR",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "151-736-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMER",
        "first_name": "JASON",
        "middle_name": "JOSEPH",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.