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Jacob (Jake) William Condren, PA-C

NPI 1265971865ActiveIndividual· Physician Assistant· Bolivar, MO

Physician Assistant (PA-C) with Citizens Memorial Healthcare, practicing in Bolivar, Missouri. 189 Medicare patients in 2024, $47,906 paid; all of their 382 Part D prescriptions were generic. Medtronic, Inc. was the largest of 5 companies reporting payments in 2025, $303.39 in all, mostly food and beverage. Lists Citizens Memorial Hospital as a hospital affiliation.

Overview

NPI1265971865
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedFeb 15, 2017
Last updated in NPPESFeb 15, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

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

Medicare services in 2024

Medicare patients189
Services billed1,798 across 69 procedure codes
Paid by Medicare$47,906

Part D prescriptions in 2024

Prescriptions (claims)382 · 455 30-day fills
Patients124
Total drug cost$5,175
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Graduation year2016
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$303.39 · 10 payments from 5 companies
  • 2024$369.04 · 10 payments from 5 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$303.39 · 10 payments

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

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