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

Jacob Ryan Lynn, PA

Individual provider Surgical Physician Assistant · NPI 1659422384

Jacob Ryan Lynn, PA is a Physician Assistant in Royal Oak, Michigan. Qualified in 2006, 20 years ago. Practices with Beaumont Medical Group Hospital Based Services, a 572-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Louisiana, Michigan, Mississippi and Washington.

Years since qualifying
20
Licensed in
LA, MI, MS, WA
In the registry since
2007
Specialties on file
5
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 898-0123
Fax: (248) 898-1473
Show map & directions

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

Additional practice locations (2)

  • 44201 Dequindre Rd, Troy, MI 48085-1117 — (248) 964-8432
  • 314 Martin Luther King Jr Way, Tacoma, WA 98405-4250 — (253) 403-7257

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010017 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence TPA0012 (MS)
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA60030903 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA.200096 (LA)

Record details

NPI number1659422384
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 16, 2007
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address26901 Beaumont Blvd # 3d, Southfield, MI 48033-3849

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Beaumont Medical Group Hospital Based Services — 572 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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