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NPI · 1114759255 · NPPES-sourced

Abby Medford PA-C

ActivePhysician Assistant
NPI Number
1114759255
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(618) 498-2101
License IL · 085010750
Last Updated
Enumerated
Primary practice addressIL · 62052-2000
390 Maple Summit RdJerseyville, IL 62052-2000
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About this NPIWhat this record shows.

NPI 1114759255 is registered to Abby Medford PA-C, a Physician Assistant practising at 390 Maple Summit Rd in Jerseyville, Illinois. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Abby Medford PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2024.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 085010750IL· Issued by IL STATE LICENSE - PA
  • 16340134IL· Issued by CAQH ID
  • 1134163827IL· Issued by GROUP NPI - JCH MEDICAL GROUP
  • 1811392970IL· Issued by RURAL HEALTH CLINIC NPI
  • 1219129IL· Issued by NCCPA ID

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Abby Medford PA-C accepts. To confirm in-network status with your specific health plan, contact Abby Medford PA-C directly at (618) 498-2101.

Frequently asked

Yes. NPI 1114759255 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (618) 498-2101.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Abby Medford PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
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5 records · same addressOther providers at this location.

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Same specialtyOther Physician Assistant providers in Illinois.

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