Abby Marie Medford, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085010750 Issued in IL

Practice address

390 Maple Summit Rd
Jerseyville, IL 62052-2000

Phone

(618) 498-2101

Fax

(618) 498-8153

NPI assigned

Aug 16, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 5

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jersey Community HospitalGroup PAC ID 4587650445, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jersey Community Hospital Hospital, Jerseyville, IL, CCN 140059

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abaalman@jch.cernerdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jersey Community Hospital

  • Personal Emergency Response Attendant
  • Jerseyville, IL
  • NPI 1780609925
  Medicare reassignment Care Compare group
• Jersey Community Hospital

  • Rural Health Clinic/Center
  • Jerseyville, IL
  • NPI 1700423696
  NPD
• Jersey Community Hospital District

  • Anesthesiology Physician
  • Jerseyville, IL
  • NPI 1780617530
  NPD
• Jersey Community Hospital

  • Rural Health Clinic/Center
  • Jerseyville, IL
  • NPI 1811392970
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jersey Community Hospital

  • General Acute Care Hospital
  • Jerseyville, IL
  • NPI 1184630519
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1114759255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MAPLE SUMMIT RD",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522000",
            "telephone_number": "618-498-7518",
            "fax_number": "618-498-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 MAPLE SUMMIT RD",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522000",
            "telephone_number": "618-498-2101",
            "fax_number": "618-498-8153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 S State St",
            "address_purpose": "LOCATION",
            "city": "Roodhouse",
            "state": "IL",
            "postal_code": "620821544",
            "country_code": "US",
            "telephone_number": "217-589-4383",
            "fax_number": "217-589-4409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "523 S Main St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "IL",
            "postal_code": "620161256",
            "country_code": "US",
            "telephone_number": "217-942-3326",
            "fax_number": "217-942-9833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "903 S State St",
            "address_purpose": "LOCATION",
            "city": "Jerseyville",
            "state": "IL",
            "postal_code": "620522344",
            "country_code": "US",
            "telephone_number": "618-639-9255",
            "fax_number": "618-639-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 E County Rd",
            "address_purpose": "LOCATION",
            "city": "Jerseyville",
            "state": "IL",
            "postal_code": "620523125",
            "country_code": "US",
            "telephone_number": "618-498-8467",
            "fax_number": "618-639-2017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 Maple Summit Rd",
            "address_purpose": "LOCATION",
            "city": "Jerseyville",
            "state": "IL",
            "postal_code": "620522004",
            "country_code": "US",
            "telephone_number": "618-498-7108",
            "fax_number": "618-498-7919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Myrtle",
            "address_purpose": "LOCATION",
            "city": "Hardin",
            "state": "IL",
            "postal_code": "620471002",
            "country_code": "US",
            "telephone_number": "618-576-9407",
            "fax_number": "618-576-2260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDFORD",
        "first_name": "ABBY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085010750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE LICENSE - PA",
            "identifier": "085010750",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "16340134",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI - JCH MEDICAL GROUP",
            "identifier": "1134163827",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RURAL HEALTH CLINIC NPI",
            "identifier": "1811392970",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA ID",
            "identifier": "1219129",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abaalman@jch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "HIE JERSEY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "390 Maple Summit Rd",
            "city": "Jerseyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620522000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick Masching, MD
• Lauren McCarthy, DPM
• Brandy McCoy
• Christine McCoy, P.T.
• Melissa H McKennon
• Medical Associates of Jerseyville, LTD.
• Alexis Medovich
• Steven Lee Meredith, RPH
• Hannah Mae Mersch, BT
• Danielle R Miller, RBT

• Physician Assistant in Jerseyville, IL
• Providers in Jerseyville, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.