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

Individual provider Physician Assistant · NPI 1972228724

Jonathan Ryan Nikutta, PA is a Physician Assistant in Ypsilanti, Michigan. Qualified in 2022, 4 years ago. Practices with East Paris Internal Medicine Associates PC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
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

5361 McAuley Dr
Ypsilanti, MI 48197-1011
Phone: (734) 712-1300
Fax: (734) 712-1330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 520 Elder St, Ypsilanti, MI 48197-5105 — (734) 802-8545

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011422 (MI)

Record details

NPI number1972228724
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 4, 2022
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice East Paris Internal Medicine Associates Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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