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Autumn Childress

NPI 1669399556ActiveIndividual· Physician Assistant· Jersey City, NJ

Physician Assistant in Jersey City, New Jersey, with an NPI issued in July 2026.

Overview

NPI1669399556
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJul 1, 2026
Last updated in NPPESAug 15, 2026
Certified by providerAug 15, 2026

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)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other Physician Assistant providers in Jersey City

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