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Deactivated NPI 1720231061 Deactivated / Inactive NPI Female Practitioner

Jennifer J Kokesh , PA-C

Physician Assistant • Mattoon, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jennifer Kokesh has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 30, 2008
NPI Deactivation Date April 12, 2023
Total Practice Duration ~15 Years of Practice (2008 – 2023)

Professional Overview & Biography Verified Profile Summary

Jennifer Kokesh, PA-C was a registered Physician Assistant practicing in Mattoon, IL. Throughout an active medical career spanning 15 years, Jennifer Kokesh provided care at the practice location at 1000 HEALTH CENTER DR until profile deactivation on 2023-04-12.

Practice Location & Contact Primary Location

Practice Address

1000 Health Center Dr

Mattoon, IL 619389253

Telephone 2172582551
Fax 2172582256
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mattoon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
21 Specialists

Practicing in Mattoon, IL (4958 Statewide)

Telehealth Adoption Rate
9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-003290

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Dr. Joseph Burton , DO

Emergency Medicine

NPI 1023124484

Doctor of Osteopathic Medicine (D.O.)

Robert Atchley , APN

Nurse Practitioner - Family

NPI 1063860187

Advanced Practice Nurse

Dr. Dwight Pentzien , DO

Emergency Medicine

NPI 1073629887

Doctor of Osteopathic Medicine (D.O.)

Rachel West , APRN

Nurse Practitioner - Acute Care

NPI 1104511070

Advanced Practice Registered Nurse

Dr. Daniel Bommelje , DO

Emergency Medicine

NPI 1245346691

Doctor of Osteopathic Medicine (D.O.)

Arielle Wolf , PA-C

Physician Assistant

NPI 1255683074

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated April 12, 2023

Record deactivated on April 12, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2023

Physician Assistant (License #PA21585 in CA)

NPI Profile Active July 20, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 20, 2015

Registered at 1000 HEALTH CENTER DR, MATTOON, IL 619389253 (Tel: 2172582551)

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Updated Business Mailing Address July 20, 2015

Registered at 1000 HEALTH CENTER DR, MATTOON, IL 619389253 (Tel: 2172582551)

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Provider Name / Credentials Updated July 20, 2015

Recorded as JENNIFER KOKESH, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2015

Physician Assistant (License #085-003290 in IL)

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Initial NPI Registration & Enumeration October 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720231061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2008
Last Update: July 20, 2015
Deactivation Date: April 12, 2023

Mailing Address

1000 Health Center Dr

Mattoon, IL 619389253

Phone: 2172582551

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.