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Jill Ann Spackman, PA

NPI 1093940173ActiveIndividual· Physician Assistant· Fort Campbell, KY

Physician Assistant (PA) with Urgent Care Enterprise LLC, practicing in Fort Campbell, Kentucky. In 2024 Medicare paid $13,993 for 154 patients, and Part D covered 230 of their prescriptions, 89% of them generic.

Overview

NPI1093940173
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedMay 19, 2009
Last updated in NPPESJun 20, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X1086080CO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (TN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients154
Services billed311 across 45 procedure codes
Paid by Medicare$13,993

Part D prescriptions in 2024

Prescriptions (claims)230 · 234 30-day fills
Patients181
Total drug cost$2,217
Generic share89% of claims

Medicare sources and data years

Education and affiliations

Graduation year2009
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Fort Campbell

All 134 physician assistants in Fort Campbell · All physician assistants in Kentucky