MACKENZIE JACKS (PA-C) – Physician Assistant, NPI 1285054254
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MACKENZIE JACKS (PA-C)
3040 E 7 MILE RD
DETROIT, MI 482341662
Phone: (313) 368-0705
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $714.
Total Amount is formed as General ($714) + Research ($0) + Ownership ($0) = $714.
Last reported payment date: 2024-06-27 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($171).
Total Amount
$714
General + Research + Ownership
Payments
26
Total payment records
General Amount
$714
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $171 |
| Axsome Therapeutics, Inc. | $170 |
| ABBVIE INC. | $135 |
| Exact Sciences Corporation | $55 |
| Lilly USA, LLC | $54 |
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: 2014-10-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20141029000976 | I | Physician Assistant | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 30 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 28 | 23 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 17 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 48234)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 81002 | Urinalysis, manual test | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Physician Assistant | MI |
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