Jared Lee Mouw, PA-C
NPI 1558047191ActiveIndividual· Physician Assistant· Vermillion, SD
Physician Assistant (PA-C) in Vermillion, South Dakota, trained at University of North Dakota School of Medicine (class of 2023). 246 Medicare patients in 2024, $27,731 paid; nearly all of their 187 Part D prescriptions were generic (98%).
Overview
| NPI | 1558047191 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Jun 27, 2023 |
| Last updated in NPPES | Jan 22, 2026 |
| Certified by provider | Jan 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1505 | SD |
| Physician Assistant | 363A00000X | 14544 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN); Practitioner - Physician Assistant (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 246 |
|---|---|
| Services billed | 391 across 21 procedure codes |
| Paid by Medicare | $27,731 |
Part D prescriptions in 2024
| Prescriptions (claims) | 187 · 189 30-day fills |
|---|---|
| Patients | 102 |
| Total drug cost | $1,185 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | University of North Dakota School of Medicine |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Physician Assistant |
Medical group
- City of BrookingsBrookings, SD · 115 clinicians
Hospital affiliations
- Brookings Health SystemBrookings, SD
- Sanford Vermillion Medical CenterVermillion, SD
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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