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

Jennifer Yelizarov, PA

Individual provider Physician Assistant · NPI 1821510421

Jennifer Yelizarov, PA is a Physician Assistant in Clinton Twp, Michigan. Qualified in 2017, 9 years ago. Practices with Henry Ford Macomb Hospital Corporation, a 339-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

15855 19 Mile Rd
Clinton Twp, MI 48038-3504
Phone: (586) 263-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 37000 Grand River Ave Ste 120, Farmington Hills, MI 48335-2868 — (248) 849-3485
  • 7107 N Wayne Rd, Westland, MI 48185-2172 — (408) 396-2646

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008271 (MI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1821510421
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 14, 2017
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Henry Ford Macomb Hospital Corporation — 339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clinton Twp