EMILY LYNN JACKSON (PA-C) – Physician Assistant, NPI 1346883493
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for EMILY LYNN JACKSON (PA-C)
1498 S Sheldon Rd
Plymouth, MI 481702140
Phone: (734) 927-5335
Type: Location
9151, Butwell Street, Livonia, Wayne County, Michigan, 48150, United States
LIVONIA, MI 481503439
Phone: (734) 233-7722
Type: Mailing
30736, Hoover Road, Warren, Macomb County, Michigan, 48093, United States
WARREN, MI 480932555
Phone: (734) 927-5225
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-03-27
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 |
|---|---|---|---|---|
| I20200327002455 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | 47 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 39 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 28 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 25 | 25 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 23 | 20 | $0 |
Insurance plans in this area (ZIP 48170)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Emergency Medicine | MI | |
| Physician Assistant | OH | |
| Physician Assistant | MI | |
| - | MI | |
| Physician Assistant | MI |
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