Jessica McWatters, PAC
Physician Assistant in Fremont, MI. Individual provider (NPI-1).
NPI number1124889852
StatusActive
Last updated in NPPESApr 8, 2024
Details
- NPI
- 1124889852
- Entity type
- Individual (NPI-1)
- Name
- Jessica McWatters
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2024
- Certification date
- Apr 8, 2024
- Last updated
- Apr 8, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601012120 | MI | Yes |
Practice location
230 W Oak StFremont, MI 49412-1526
Phone 231-924-4200
Mailing address
100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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