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Active NPI 1417565086 Individual Practitioner Female Practitioner

Danielle Neesam

Physician Assistant • Jackson, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Danielle Neesam is a certified Physician Assistant practicing in Jackson, MI. With approximately 7 years of clinical experience since completing medical education in 2019, Danielle Neesam delivers high-quality medical care to the local community at 309 PAGE AVE.

Danielle Neesam maintains professional affiliations with W. A. Foote Memorial Hospital, Inc., Medstar Heart Institute Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

309 Page Ave

Jackson, MI 492012419

Telephone 5172051234
Fax 5172051050
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jackson, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -4.8 yrs vs City Avg
City Avg: 11.8 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
104 Specialists

Practicing in Jackson, MI (7057 Statewide)

Telehealth Adoption Rate
3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Neesam (7 Years) 7 Yrs
Jackson Specialty Average (11.8 Years) 11.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
105 62 $197.50 $76.27

Medical Specialties & State Licenses

CMS Verified: 2025-10-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601009884

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Michigan Physician Assistant License
5601009884 (MI)

Hospital & Practice Group Affiliations

W. A. Foote Memorial Hospital, Inc.

7845 Spring Arbor Rd, Spring Arbor, MI 492839785

Phone: 5172052580

W. A. Foote Memorial Hospital, Inc.

205 N E Ave, Jackson, MI 492011753

W. A. Foote Memorial Hospital, Inc.

813 W Michigan Ave, Jackson, MI 492024158

Phone: 5172051000

Medstar Heart Institute Llc

110 Irving St Nw, Washington, DC 200103017

Phone: 2028772851

Secondary Practice Locations

205 N East Ave

Jackson, MI 492011753

Phone: 5172054800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Luis Sanchez-Erebia , PA-C

Physician Assistant

NPI 1043872740

Physician Assistant (Certified)

Oltion Mesi

Internal Medicine - Cardiovascular Disease

NPI 1134625502
Tamiah Cunningham , NP

Nurse Practitioner

NPI 1194958454

Nurse Practitioner

Dr. Mumtaz Memon , MD

Internal Medicine - Cardiovascular Disease

NPI 1215904255

Doctor of Medicine (M.D.)

Jennifer Song

Nurse Practitioner - Acute Care

NPI 1225716186
Dr. Usman Khokhar , MD

Internal Medicine - Interventional Cardiology

NPI 1265639520

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 09, 2025

Registered at 309 PAGE AVE, JACKSON, MI 492012419 (Tel: 5172051234)

📍
Updated Business Mailing Address October 09, 2025

Registered at 1 FORD PL STE 3A, DETROIT, MI 482023450 (Tel: 3138744806)

NPI Profile Active July 20, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2020

Registered at 110 IRVING ST NW, WASHINGTON, DC 200103017 (Tel: 7344176224)

📍
Updated Business Mailing Address July 20, 2020

Registered at 5948 SUNRISE DR, YPSILANTI, MI 481977497

👤
Provider Name / Credentials Updated July 20, 2020

Recorded as DANIELLE NEESAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2020

Physician Assistant (License #5601009884 in MI)

🟢
Initial NPI Registration & Enumeration July 20, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417565086
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2020
Last Update: October 09, 2025
Sole Proprietor: No

Mailing Address

1 Ford Pl Ste 3a

Detroit, MI 482023450

Phone: 3138744806

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.