Individual provider Active NPI

Jacob M Mischler, PA

  • Physician Assistant
  • Owensboro, KY
National Provider Identifier
1457974453
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2947 Issued in KY
Practice address
2200 E Parrish Avenue
BLDG D, Suite 100
Owensboro, KY 42303
Phone
(270) 688-1770
Fax
(270) 688-1781
NPI assigned
May 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 10003015A IN
Physician Assistant 363A00000X PA2947 KY Primary

Addresses

Primary practice location

2200 E Parrish Avenue
BLDG D, Suite 100
Owensboro, KY 42303

Mailing address

2200 East Parrish Avenue
BLDG D, Suite 100
Owensboro, KY 42303
Phone (270) 688-1770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200820002265 IN Practitioner - Physician Assistant 5395161335 Reassigns benefits to 1 organization
I20220413001389 KY Practitioner - Physician Assistant 5395161335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Consultants LLPGroup PAC ID 2567361397, 18 clinicians

Practice addresses (Care Compare)

2200 E Parrish Ave
BLDG D Suite 100
Owensboro, KY 42303-1499
Phone 2706881770220

520 Mary St
Suite 470
Evansville, IN 47710-1680
Phone (812) 426-8410

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.64 of 100Reported as group
Quality
45.57
Promoting interoperability
100
Improvement activities
40
Cost
69.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10003015AINMDPhysician Assistant
PA2947KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Consultants LLP Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jmischler206378@direct.deaconess.com

Organizations & group practices 2

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": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1457974453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 EAST PARRISH AVENUE",
            "address_2": "BLDG D, SUITE 100",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-688-1770",
            "fax_number": "270-688-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVENUE",
            "address_2": "BLDG D, SUITE 100",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-688-1770",
            "fax_number": "270-688-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCHLER",
        "first_name": "JACOB",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-26",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003015A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.