EMILY JANE JUCKNO (PA-C) – Physician Assistant, NPI 1942738117

EMILY JANE JUCKNO (PA-C) is a healthcare provider. based in Pinckney, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601008221 (MI). The NPI Number for EMILY JANE JUCKNO (PA-C) is 1942738117

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
EMILY JANE JUCKNO (PA-C)
NPI
1942738117
Phone
(734) 474-6447
Address
10707 FRANKFORT
Enumeration Date
31 May 2017
Last Update Date
17 May 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3139162600
Graduation Year
2017 (9 years ago)
PAC ID
4183997075
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20170828003935
Address ID
MI482022608DE2799XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for EMILY JANE JUCKNO (PA-C)

  • 10707 FRANKFORT

    PINCKNEY, MI 481698432

    Phone: (734) 474-6447

    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 3 Open Payments records for all available years, with a total value of $72.

Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($40).

Total Amount

$72

General + Research + Ownership

Payments

3

Total payment records

General Amount

$72

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2017-08-28

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
I20170828003935IPhysician 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 48169)

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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: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Qualified AudiologistMI
O P H T H A L M O L O G YMI
-MI
-MI

Reviews

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Frequently asked questions

Can I verify EMILY JANE JUCKNO (PA-C) with an NPI only?
You can start verification with NPI 1942738117 for EMILY JANE JUCKNO (PA-C), then check state licensing separately.
Can I rely on EMILY JANE JUCKNO (PA-C) being an active provider?
As of the registry snapshot, EMILY JANE JUCKNO (PA-C) is marked active.
What taxonomy line describes EMILY JANE JUCKNO (PA-C)?
For research purposes, treat EMILY JANE JUCKNO (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for EMILY JANE JUCKNO (PA-C)?
EMILY JANE JUCKNO (PA-C)'s geographic hint is Pinckney, Michigan in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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