Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Danielle Neesam

Individual provider Physician Assistant · NPI 1417565086

Danielle Neesam is a Physician Assistant in Jackson, Michigan. Qualified in 2019, 7 years ago. Practices with Medstar Heart Institute LLC, a 311-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

309 Page Ave
Jackson, MI 49201-2419
Phone: (517) 205-1234
Fax: (517) 205-1050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 205 N East Ave, Jackson, MI 49201-1753 — (517) 205-4800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009884 (MI)

Record details

NPI number1417565086
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2020
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Medstar Heart Institute Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Jackson