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

Jesse Tien

Individual provider Physician Assistant · NPI 1285029249

Jesse Tien is a Physician Assistant in Caledonia, Michigan. Qualified in 2014, 12 years ago. Practices with Advantage Health/Saint Mary's Medical Group, a 494-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2015

Practice location Address checks out

10047 Crossroad Ct SE
Caledonia, MI 49316-7316
Phone: (616) 685-8850
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007292 (MI)

Record details

NPI number1285029249
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2015
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021
Mailing address1900 44th St Se, Kentwood, MI 49508-5008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Advantage Health/Saint Mary'S Medical Group — 494 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Caledonia