Jaclyn Summer Liston-Crandall, M.D.
NPI 1114145133ActiveIndividual· Family Medicine· Tekonsha, MI
Family Medicine (M.D.) in Tekonsha, Michigan, trained at University of Michigan Medical School (class of 2004). Their prescriptions cost Medicare Part D more than their services did: $459,907 for 5,319 claims, against $19,563 paid for services in 2024.
Overview
| NPI | 1114145133 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 23, 2007 |
| Last updated in NPPES | Dec 16, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 4301089625 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 86 |
|---|---|
| Services billed | 407 across 23 procedure codes |
| Paid by Medicare | $19,563 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,319 · 10,857 30-day fills |
|---|---|
| Patients | 359 |
| Total drug cost | $459,907 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | University of Michigan Medical School |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Ella E M Brown Charitable CircleFort Wayne, IN · 170 clinicians
Hospital affiliations
- Bronson Methodist HospitalKalamazoo, MI
- Insight Hospital and Medical Center ColdwaterColdwater, MI
- Oaklawn HospitalMarshall, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine providers in Tekonsha
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- 1174971170