Jacob Riley Hayles, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

600 John Deere Rd Ste 200
Moline, IL 61265-6812

Phone

(309) 779-4210

NPI assigned

Jul 26, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Arts Associates, LTD.Group PAC ID 4385549377, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
• Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
• Hammond Henry Hospital Hospital, Geneseo, IL, CCN 141319

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Medical Arts Associates, LTD.

  • Internal Medicine Physician
  • Moline, IL
  • NPI 1396724183
  Medicare reassignment Care Compare group

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

• Genesis Health System

  • General Acute Care Hospital
  • Silvis, IL
  • NPI 1427132604
  Care Compare affiliation
• Hammond Henry Dist Hospital

  • Critical Access Hospital
  • Geneseo, IL
  • NPI 1457344491
  Care Compare affiliation
• Trinity Medical Center

  • General Acute Care Hospital
  • Rock Island, IL
  • NPI 1316047632
  Care Compare affiliation

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1427784115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JOHN DEERE RD STE 200",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656812",
            "telephone_number": "309-779-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JOHN DEERE RD STE 200",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656812",
            "telephone_number": "309-779-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYLES",
        "first_name": "JACOB",
        "middle_name": "RILEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lynn Hartman, D.O.
• Alyssa Sue Hartweg
• Melinda M. Hass, M.D.
• Holly M Hatch, CRNA
• Hawkeye Dental Creations
• Erin Haynes, ARNP
• Healing Alliance LLC
• Healing Hands Wellness Center
• Health From Within Chiropractic Wellness Center of Moline, SC
• Health S T R E T C H

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.