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

Jaclyn R Cochrane, PA-C

Individual provider Medical Physician Assistant · NPI 1053560045

Jaclyn R Cochrane, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2008, 18 years ago. Practices with Henry Ford Medical Group Genesys, a 97-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
18
Licensed in
MI
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3700 52nd St SE
Grand Rapids, MI 49512-9637
Phone: (616) 656-3700
Fax: (616) 656-3701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601005220 (MI)

Record details

NPI number1053560045
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 15, 2008
Last updated in NPPESDecember 17, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Henry Ford Medical Group Genesys — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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