Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548113376 Individual Practitioner Male Practitioner

Jacob Patrick Wacker , MMSC, PA-C

Physician Assistant • Chesterfield, MO

Professional Overview & Biography Verified Profile Summary

Jacob Wacker, MMSC, PA-C is a registered healthcare professional specializing in Physician Assistant in Chesterfield, MO. Practice services are available at 1001 CHESTERFIELD PKWY E STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1001 Chesterfield Pkwy E Ste 201

Chesterfield, MO 630172167

Telephone 6365322422
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Chesterfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.1 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
43 Specialists

Practicing in Chesterfield, MO (1802 Statewide)

Telehealth Adoption Rate
14.0% 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

CMS Verified: 2026-06-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 2026007576

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License IL 085.012208

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

6 Associated Practitioners
NPI 1255324703

Doctor of Medicine (M.D.)

NPI 1275112641

Doctor of Medicine (M.D.)

NPI 1548486194

Doctor of Medicine (M.D.)

Gina Indelicato , NP-C

Nurse Practitioner - Family

NPI 1659788552

Nurse Practitioner (Certified)

NPI 1790778249

Doctor of Medicine (M.D.)

NPI 1801889357

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 18, 2026

Registered at 1001 CHESTERFIELD PKWY E STE 201, CHESTERFIELD, MO 630172167 (Tel: 6365322422)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2026

Physician Assistant (License #085.012208 in IL)

NPI Profile Active February 19, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location February 19, 2026

Registered at 100 CHURCH ST S, NEW HAVEN, CT 065191703 (Tel: 2034324771)

📍
Updated Business Mailing Address February 19, 2026

Registered at 100 CHURCH ST S, NEW HAVEN, CT 065191703

👤
Provider Name / Credentials Updated February 19, 2026

Recorded as JACOB WACKER, MMSC, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2026

Physician Assistant (License #2026007576 in MO)

🟢
Initial NPI Registration & Enumeration February 19, 2026

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: 1548113376
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2026
Last Update: June 18, 2026
Sole Proprietor: No

Mailing Address

100 Church St S

New Haven, CT 065191703

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.