Jacquelyn Edwards
NPI 1306250634 · Physician Assistant · Detroit, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacquelyn Edwards is a Physician Assistant provider in Detroit, MI (NPI 1306250634).
Provider details
- NPI number
- 1306250634
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5601006985 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 22531 Oconnor StSaint Clair Shores, MI 48080-2148Phone: (586) 899-6180
Registry dates
- Enumerated
- 2014-06-14
- Last updated
- 2024-09-19
- Certified
- 2024-09-19
Frequently asked questions
- What is Jacquelyn Edwards's NPI number?
- Jacquelyn Edwards's National Provider Identifier (NPI) is 1306250634, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquelyn Edwards's specialty?
- Jacquelyn Edwards is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacquelyn Edwards located?
- Jacquelyn Edwards's practice location on file with NPPES is 2799 W Grand Blvd, Detroit, MI 48202-2608.
- What is Jacquelyn Edwards's phone number?
- The practice phone number listed in the NPPES registry for Jacquelyn Edwards is (800) 436-7936.
- Does Jacquelyn Edwards accept Medicare?
- Jacquelyn Edwards is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacquelyn Edwards's NPI active?
- Yes — Jacquelyn Edwards's NPI (1306250634) is active in the NPPES registry as of the last update on 2024-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.