Doctor profile · Federal record

Dr. Jaclyn Mascarin, PA

Physician Assistant · Physician Assistant · Port Huron, MI

  • NPI 1639512791
  • 13 yrs on file
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
1221 Pine Grove Ave
Port Huron, MI 480603511
(810) 989-3300
Additional location
300 Pinellas St # MS -36
Clearwater, FL 337563804
(727) 462-7000
Mailing address
Po Box 595498
Fort Gratiot, MI 480595498

Credentials & registration

NPPES · NUCC
NPI registered
April 2013 — 13 yrs on file
Profile last updated
May 4, 2023
Specialty taxonomy
363A00000X — NUCC code
State licenses (2)
Michigan #5601011637 · Florida #PA9107043

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1639512791. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
61
Distinct HCPCS
2
Medicare allowed
$8,437
HCPCS Description Services Patients Avg allowed
99285 Emergency department visit with high level of medical decision making 44 43 $152
99284 Emergency department visit with moderate level of medical decision making 17 16 $104

In context: peer comparison

Among 9 peers in this city , average services per provider: 75. This provider delivers 0.8× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
13
Patients
13
Total drug cost
$87
Drug Type Claims Patients Total cost
Ondansetron Odt (Ondansetron) Brand 13 13 $87

Frequently asked questions

Auto-generated from federal data
What is Dr. Jaclyn Mascarin's medical specialty?
Dr. Jaclyn Mascarin practices Physician Assistant in Port Huron, MI.
Where does Dr. Jaclyn Mascarin practice?
Dr. Jaclyn Mascarin practices at 1221 Pine Grove Ave, Port Huron, MI 480603511. Office phone: 8109893300.
What is Dr. Jaclyn Mascarin's NPI?
Dr. Jaclyn Mascarin's National Provider Identifier (NPI) is 1639512791, issued by NPPES.
What procedures does Dr. Jaclyn Mascarin commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with moderate level of medical decision making (HCPCS 99284). Source: CMS Medicare Physician & Other Practitioners file.