JAMIE PHILLIPICH (PA) – Medical Physician Assistant, NPI 1316335367

JAMIE PHILLIPICH (PA) is a healthcare provider. based in Muskegon, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5601007253 (MI). The NPI Number for JAMIE PHILLIPICH (PA) is 1316335367

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE PHILLIPICH (PA)
NPI
1316335367
Phone
(231) 726-3511
Address
1700 CLINTON ST
Enumeration Date
29 December 2014
Last Update Date
29 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6165881200
Graduation Year
2014 (12 years ago)
PAC ID
4587989215
Group Practice PAC ID
8729162185
Professional Enrollment ID
I20150220001385
Address ID
MI495035731GR555XXNEXX408
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for JAMIE PHILLIPICH (PA)

  • 1700 CLINTON ST

    MUSKEGON, MI 494425502

    Phone: (231) 726-3511

    Type: Location

  • 125 COLLEGE AVE SE APT 5

    GRAND RAPIDS, MI 495034474

    Phone: (517) 505-2180

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: iRhythm Technologies, Inc. ($55).

Total Amount

$115

General + Research + Ownership

Payments

3

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-02-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150220001385IPhysician AssistantMITBD

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.

Verify on CMS Revalidation Lookup Tool

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 49442)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729162185View full group profile
NameSpecialtyState
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI
Nurse PractitionerMI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerTN
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

Does JAMIE PHILLIPICH (PA) have a public NPI I can cite?
Public records show JAMIE PHILLIPICH (PA) under NPI 1316335367.
Should I treat JAMIE PHILLIPICH (PA) as an active provider?
Patients and plans typically see JAMIE PHILLIPICH (PA) as active in the national extract.
What does the directory say JAMIE PHILLIPICH (PA) does?
Insurance directories may phrase it differently, but here JAMIE PHILLIPICH (PA) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JAMIE PHILLIPICH (PA) tied to Muskegon, Michigan?
If you are local to Muskegon, Michigan, JAMIE PHILLIPICH (PA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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