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Jacob E. Mefford, PA

NPI 1689923013ActiveIndividual· Physician Assistant· Peoria, IL

Physician Assistant (PA) in Peoria, Illinois, licensed in IL, with an NPI issued in August 2012.

Overview

NPI1689923013
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedAug 30, 2012
Last updated in NPPESJan 30, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X085004403IL

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)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 assistants in Peoria

All 102 physician assistants in Peoria · All physician assistants in Illinois