Jennifer J. Lackman, PA
Physician Assistant · Grand Rapids, MI
Jennifer J. Lackman, PA is a physician assistant with a practice address in Grand Rapids, Michigan, and NPI 1184015414, issued on Feb 9, 2015. Check the license (Michigan 5601007301, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jennifer J. Lackman
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- 5601007301 MI
PA55661 CA
Self-reported in NPPES; status is on the state search - Practice location
- 310 Lafayette Ave SE, Grand Rapids, MI 49503
- Phone
- (616) 685-8200
- Enumerated
- Feb 9, 2015
- Record last updated
- Apr 6, 2022
- Fax
- (616) 685-8202
- Medicare enrollment
- Enrolled (PECOS I20150422000462); accepts Medicare assignment
- Medical or professional school
- Emory University School Of Medicine, 2014
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 6,989 in Michigan → Look up another NPI →
Also registered at 310 Lafayette Ave SE
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Robert Alexander, MDSpecialist1265475099
- Robert Bischoff, DOGastroenterology Physician1891106001
- Anamaria Bondici, MDInfectious Disease Physician1942524020
- Steven Crane, M.D.Specialist1316942816
- Paul Farr, M.D.Specialist1790781987
- Lennox Forrest, PH.D.Counseling Psychologist1114970621
Verify Jennifer J. Lackman in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 5601007301Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
92% fewer Medicare Part D claims than the average physician assistant in 2024
70 Medicare Part D claims for 22 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Advantage Health/saint Mary's Medical GroupCaledonia, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jennifer J. Lackman among 6,989 physician assistant records in Michigan
Jennifer J. Lackman, PA is one of 6,989 physician assistant records with a practice address in Michigan. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 45% of them.
- NPI issued2015 · 45% of these records are older, 52% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated2014 · median 2017 among the 4,739 with a school on file
- Record last updated2022 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
913 physician assistant records list a practice address in Grand Rapids
They are 913 of the 18,005 NPPES records with a practice address in Grand Rapids, and 6,989 physician assistant records in Michigan.
All 6,989 in Michigan → Every provider in Grand Rapids → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Lisa Berger, P.A.Grand Rapids, MI 495031497729172
- Barbara Blakely, PA-CGrand Rapids, MI 495031649255563
- Sarah Bleyenberg, PA-CGrand Rapids, MI 495031174504088
- Laura Bolenz-Geesin, PA-CGrand Rapids, MI 495031811982283
- Joel Heagle, PA-CGrand Rapids, MI 495031962497990
- John Hendricks, PA-CGrand Rapids, MI 495031992705610
- Carrie Jerow, MPAS, PA-CGrand Rapids, MI 495031033190285
- Jacqueline Johanson, P.A.-CGrand Rapids, MI 495031952304982
Common questions
What is Jennifer J. Lackman, PA's NPI number?
Jennifer J. Lackman, PA's National Provider Identifier (NPI) is 1184015414, issued on Feb 9, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Jennifer J. Lackman, PA located?
The NPPES record lists a practice address at 310 Lafayette Ave SE, Grand Rapids, MI, 49503. Phone: (616) 685-8200. Providers update this record themselves, so call before visiting.
How can I verify Jennifer J. Lackman, PA's license?
NPPES lists Michigan license number 5601007301, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
How much does Jennifer J. Lackman, PA prescribe under Medicare Part D?
In 2024, Jennifer J. Lackman, PA had 70 Medicare Part D claims for 22 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.