JENNIFER ELIZABETH PHILLIPS PAC NPI 1366580227

NPI Information

NPI: 1366580227
Provider Name: JENNIFER ELIZABETH PHILLIPS, PAC
Classification: Physician Assistant - 363AM0700X
Specialization: Medical
Entity Type: Individual
PECOS Registration: Yes
Address: 560 W MITCHELL ST STE 400
PETOSKEY, MI
ZIP 49770
Phone: (231) 330-3246

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NPI Details

Jennifer Elizabeth Phillips, PAC is a medical physician assistant in Petoskey, MI. Jennifer Elizabeth Phillips, PAC NPI is 1366580227. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

560 W MITCHELL ST STE 400
PETOSKEY, MI
ZIP 49770-274
Phone: (231) 330-3246

The NPI 1366580227 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)

The enumeration date for this NPI number is 2/2/2007 and was last updated on 2/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		5601003293	MICHIGAN	No
2	363AM0700X	Physician Assistant	Medical	PA10004815	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8436487	MEDICAID	WASHINGTON
2	1366580227	MEDICAID	MICHIGAN
3	US7122654	OTHER	WASHINGTON	AETNA SPECIALIST PIN
4	0039572	OTHER	WASHINGTON	LABOR AND INDUSTRIES#
5	4571LE	OTHER	WASHINGTON	BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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