Dylan Michael Declue
NPI 1679431142ActiveIndividual· Physician Assistant· Columbia, MO
Physician Assistant in Columbia, Missouri, with an NPI issued in January 2026.
Overview
| NPI | 1679431142 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 13, 2026 |
| Last updated in NPPES | Jan 13, 2026 |
| Certified by provider | Jan 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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 Columbia
- 1003525999
- 1003572850
- 1013624337
- 1013912138
- 1053033563
- 1053850180
- 1104534148
- 1134836406
- 1174308084
- 1205604048
- 1225668064
- 1245223791
All 181 physician assistants in Columbia · All physician assistants in Missouri