Jaclyn Mascarin, PA
NPI 1639512791 · Physician Assistant · Port Huron, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jaclyn Mascarin, PA is a Physician Assistant provider in Port Huron, MI (NPI 1639512791).
Provider details
- NPI number
- 1639512791
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA9107043 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
13 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)
- 300 Pinellas St # Ms -36Clearwater, FL 33756-3804Phone: (727) 462-7000
Registry dates
- Enumerated
- 2013-04-09
- Last updated
- 2023-05-04
- Certified
- 2023-05-04
Frequently asked questions
- What is Jaclyn Mascarin's NPI number?
- Jaclyn Mascarin's National Provider Identifier (NPI) is 1639512791, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaclyn Mascarin's specialty?
- Jaclyn Mascarin is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jaclyn Mascarin located?
- Jaclyn Mascarin's practice location on file with NPPES is 1221 Pine Grove Ave, Port Huron, MI 48060-3511.
- What is Jaclyn Mascarin's phone number?
- The practice phone number listed in the NPPES registry for Jaclyn Mascarin is (810) 989-3300.
- Does Jaclyn Mascarin accept Medicare?
- Jaclyn Mascarin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jaclyn Mascarin's NPI active?
- Yes — Jaclyn Mascarin's NPI (1639512791) is active in the NPPES registry as of the last update on 2023-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.