Jaclyn Nicole Anderson, PA
NPI 1477950095ActiveIndividual· Physician Assistant· Ypsilanti, MI
Physician Assistant (PA) with Iha Health Services Corporation, practicing in Ypsilanti, Michigan. 113 Medicare patients in 2024, $8,618 paid; nearly all of their 184 Part D prescriptions were generic (96%). Lists Trinity Health Ann Arbor Hospital as a hospital affiliation.
Overview
| NPI | 1477950095 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Nov 25, 2014 |
| Last updated in NPPES | Jan 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601007235 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 113 |
|---|---|
| Services billed | 136 across 21 procedure codes |
| Paid by Medicare | $8,618 |
Part D prescriptions in 2024
| Prescriptions (claims) | 184 · 197 30-day fills |
|---|---|
| Patients | 83 |
| Total drug cost | $2,939 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Iha Health Services CorporationPontiac, MI · 1,168 clinicians
Hospital affiliation
- Trinity Health Ann Arbor HospitalAnn Arbor, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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