Nicole M. Jack , PA-C
Physician Assistant • Pontiac, IL
Professional Overview & Biography Verified Profile Summary
Nicole Jack, PA-C is a certified Physician Assistant practicing in Pontiac, IL. With approximately 9 years of clinical experience since completing medical education in 2017, Nicole Jack delivers high-quality medical care to the local community at 2500 W REYNOLDS ST.
Nicole Jack is affiliated with Memorial Physician Services and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.
Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
2500 W Reynolds St
Pontiac, IL 61764
Medicare Profile & Education
Other
2017
✓ Accepts Assignment
Telehealth Services Available
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Pontiac, IL
Practicing in Pontiac, IL (4958 Statewide)
✓ Offers Virtual Consultations
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
68 | 61 | $306.25 | $103.09 |
|
G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
31 | 30 | $40.03 | $13.50 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
26 | 24 | $207.62 | $72.46 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
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.
Hospital & Practice Group Affiliations
Memorial Physician Services
3132 Old Jacksonville Rd, Springfield, IL 627047401
Memorial Physician Services
101 E Plummer Blvd, Chatham, IL 626298047
Phone: 2175882600
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant
Nurse Practitioner - Acute Care
Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 2500 W REYNOLDS ST, PONTIAC, IL 61764 (Tel: 8158445343)
Recorded as NICOLE JACK, PA-C
NPI status registered as active in NPPES database
Registered at 2500 W REYNOLDS ST, PONTIAC, IL 617649774 (Tel: 8158445343)
Registered at 2500 W REYNOLDS ST, PONTIAC, IL 617649774 (Tel: 8158445343)
Recorded as NICOLE SCHUPP, PA-C
Physician Assistant (License #085006579 in IL)
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
Mailing Address
2500 W Reynolds St
Pontiac, IL 617649774
Phone: 8158445343
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