JACQUELINE NEUMAYR (PA-C) – Physician Assistant, NPI 1962069997

JACQUELINE NEUMAYR (PA-C) is a healthcare provider. based in Troy, Michigan. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 5601009194 (MI). The NPI Number for JACQUELINE NEUMAYR (PA-C) is 1962069997

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE NEUMAYR (PA-C)
NPI
1962069997
Phone
Not provided
Address
44201 DEQUINDRE RD
Enumeration Date
24 May 2019
Last Update Date
29 July 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8109859681
Graduation Year
2019 (7 years ago)
PAC ID
6507199858
Group Practice PAC ID
1658348776
Professional Enrollment ID
I20190531001777

Contacts

Secure Messaging
jbeauregard1878117@direct.beaumont.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

Provider Addresses for JACQUELINE NEUMAYR (PA-C)

  • 44201 DEQUINDRE RD

    TROY, MI 480851117

    Phone:

    Type: Mailing

  • 1222, 10th Avenue, Port Huron, Saint Clair County, Michigan, 48060, United States

    PORT HURON, MI 480603406

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $262.

Total Amount is formed as General ($262) + Research ($0) + Ownership ($0) = $262.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Abbott Laboratories ($125).

Total Amount

$262

General + Research + Ownership

Payments

8

Total payment records

General Amount

$262

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2019-05-31

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
I20190531001777IPhysician 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 48085)

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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: 1658348776View full group profile
NameSpecialtyState
Nurse PractitionerMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Internal MedicineMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Nurse PractitionerMI
-MI
Cardiovascular Disease (Cardiology)MI

Reviews

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Frequently asked questions

How is JACQUELINE NEUMAYR (PA-C) identified in CMS data?
CMS-hosted NPPES data lists JACQUELINE NEUMAYR (PA-C) with NPI 1962069997.
Does CMS list JACQUELINE NEUMAYR (PA-C) as active?
Yes — JACQUELINE NEUMAYR (PA-C) is active in the NPI listing used on this page.
What is JACQUELINE NEUMAYR (PA-C)'s specialty?
The listing groups JACQUELINE NEUMAYR (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect JACQUELINE NEUMAYR (PA-C) on a map?
Expect Troy, Michigan as a primary anchor for JACQUELINE NEUMAYR (PA-C) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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