JESSE R PRIMEAU (PA-C) – Physician Assistant, NPI 1689612012

JESSE R PRIMEAU (PA-C) is a healthcare provider. based in Hancock, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1486-23 (WI). The NPI Number for JESSE R PRIMEAU (PA-C) is 1689612012

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
JESSE R PRIMEAU (PA-C)
NPI
1689612012
Phone
(906) 483-1777
Address
500 CAMPUS DR
Enumeration Date
4 June 2006
Last Update Date
10 November 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
1355308982
Group Practice PAC ID
6103053509
Professional Enrollment ID
I20051017000625
Address ID
MI499301569HA500XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for JESSE R PRIMEAU (PA-C)

  • UP Health System – Portage, 500, Campus Drive, Hancock, Quincy Township, Houghton County, Michigan, 49930, United States

    HANCOCK, MI 499301569

    Phone: (906) 483-1777

    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 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-02-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-10

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: 2005-10-17

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
I20051017000625IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes165102$0
20610Aspiration and/or injection of fluid from large joint5338$0
View full utilization report →

Insurance plans in this area (ZIP 49930)

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Provider's Procedures

JESSE R PRIMEAU (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMI20610Aspiration and/or injection of large joint or joint capsule4332

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: 6103053509View full group profile
NameSpecialtyState
Nurse PractitionerMI
Internal Medicine, Geriatric MedicineMI
R H E U M A T O L O G YNC
General SurgeryMI
Nurse PractitionerMI
Emergency MedicineMI
-MI
U R O L O G YPA
Nurse PractitionerMI
Family PracticeMI

Reviews

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Frequently asked questions

What NPI should I save for JESSE R PRIMEAU (PA-C)?
Save NPI 1689612012 if you need a stable reference for JESSE R PRIMEAU (PA-C).
Is JESSE R PRIMEAU (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JESSE R PRIMEAU (PA-C)?
The page reflects Physician Assistant for JESSE R PRIMEAU (PA-C). Clinical services aligned with this taxonomy classification.
Where is JESSE R PRIMEAU (PA-C)'s primary listing?
We display Hancock, Michigan because that is what the record indicates for JESSE R PRIMEAU (PA-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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