JACQUELINE PAIGE VAQUERA (PA) – Physician Assistant, NPI 1174282586
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for JACQUELINE PAIGE VAQUERA (PA)
3975 WOODLAND DR
HIGHLAND, MI 483562362
Phone: (248) 660-4896
Type: Mailing
1215 E MICHIGAN AVE
LANSING, MI 489121811
Phone: (517) 364-1000
Type: Location
1215 E Michigan Ave
Lansing, MI 489121811
Phone: (517) 364-1000
Type: Location
MEDICAL CENTER BLVD
WINSTON SALEM, NC 271570001
Phone: (336) 716-6674
Fax: (336) 716-9188
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $117.
Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: ATRICURE, INC. ($46).
Total Amount
$117
General + Research + Ownership
Payments
5
Total payment records
General Amount
$117
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $46 |
| LeMaitre Vascular, Inc. | $29 |
| SANOFI-AVENTIS U.S. LLC | $22 |
| AstraZeneca Pharmaceuticals LP | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211221001713 | I | Physician Assistant | MI | TBD |
| I20250819004001 | I | Physician Assistant | NC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48356)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| H E M A T O L O G Y/ O N C O L O G Y | PA | |
| - | NC | |
| P O D I A T R Y | NC | |
| - | NC | |
| A N E S T H E S I O L O G Y | MI | |
| - | NC | |
| H O S P I T A L I S T | NC | |
| Orthopedic Surgery | TX | |
| Physician Assistant | NC |
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