McLaren Primary Care
NPI 1972894566ActiveOrganization· Physician Assistant· West Branch, MI
Physician Assistant in West Branch, Michigan, registered in NPPES in April 2011. The authorized official on file is Danielle C. Jacks Porter, Vp/Cfo.
Overview
| NPI | 1972894566 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 29, 2011 |
| Last updated in NPPES | May 22, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601005840 | MI |
| Family Medicine | 207Q00000X | 4301062477 | MI |
| Nurse Practitioner, Family | 363LF0000X | 4704214196 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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