Individual provider Active NPI

Kayla Marie Perschbacher, PA-C

  • Physician Assistant
  • Mt. Carmel, IL
National Provider Identifier
1386194744
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.006014 Issued in IL
Practice address
1527 College Drive
Mt. Carmel, IL 62863
Phone
(618) 263-6400
NPI assigned
Oct 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.006014 IL Primary

Addresses

Primary practice location

1527 College Drive
Mt. Carmel, IL 62863

Mailing address

19041 Fenwick LN
Evansville, IN 47725-7803
Phone (812) 632-0959

Other names 1

  • Kayla Marie Wilcox Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161209000411 IL Practitioner - Physician Assistant 1052691078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Indiana University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wabash General Hospital DistrictGroup PAC ID 8022908185, 77 clinicians

Practice addresses (Care Compare)

1112 Oak St
Carmi, IL 62821-1344
Phone (618) 382-2222

1418 College Dr
Mount Carmel, IL 62863-2638
Phone (618) 262-8621

209 NW 11TH St
Fairfield, IL 62837-1218
Phone (618) 842-4180

26 E Elm St
Albion, IL 62806-1211
Phone (618) 262-8621

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.72 of 100Reported as group
Quality
65.5
Promoting interoperability
100
Improvement activities
40
Cost
10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.006014ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wabash General Hospital District CurrentSince Oct 14, 2016 Accepting new patients
Wabash General Hospital District CurrentSince Oct 14, 2016 Accepting new patients
Wabash General Hospital District CurrentSince Dec 1, 2025 Accepting new patients

Locations

26 E Elm St
Albion, IL 62806
Phone (618) 375-7101

1112 Oak St
Carmi, IL 62821
Phone (217) 732-9651

209 NW 11th St
Fairfield, IL 62837
Phone 61872424011624

11362 Country Club Rd
Lawrenceville, IL 62439
Phone (618) 707-4360

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

1525 College Dr
Mount Carmel, IL 62863
Phone (618) 263-6343

504 Micah Dr
Olney, IL 62450
Phone (618) 395-4306

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1386194744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19041 FENWICK LN",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477257803",
            "telephone_number": "812-632-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 COLLEGE DRIVE",
            "city": "MT. CARMEL",
            "state": "IL",
            "postal_code": "62863",
            "telephone_number": "618-263-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSCHBACHER",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.006014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "WILCOX",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mt. Carmel, IL

Sources for this page

Verify at the official NPI Registry.